Organization Active NPI

Pain Management Physicians of Dallas PLLC

  • Interventional Pain Medicine Physician
  • Irving, TX
National Provider Identifier
1679194872
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
PAIN MANAGEMENT PHYSICIANS OF DALLAS PLLC
Practice address
6121 N Hwy 161 Ste 225
Irving, TX 75038-2265
Phone
(214) 948-7700
Fax
(214) 948-7701
NPI assigned
Apr 29, 2020
Organization subpart
Yes
Parent organization
PAIN MANAGEMENT PHYSICIANS OF DALLAS PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kerry Sheehan
Title
Practice Administrator
Phone
(214) 948-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

6121 N Hwy 161 Ste 225
Irving, TX 75038-2265

Mailing address

1411 N Beckley Ave Ste 152
Dallas, TX 75203-1586
Phone (214) 948-7700

Other names 1

  • Dallas Pain Consultants Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pain Management Physicians of Dallas PLLC2 organizations share this tax ID, including this one
Part of
Pain Management Physicians of Dallas PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1679194872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N BECKLEY AVE STE 152",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031586",
            "telephone_number": "214-948-7700",
            "fax_number": "214-948-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 N HWY 161 STE 225",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382265",
            "telephone_number": "214-948-7700",
            "fax_number": "214-948-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT PHYSICIANS OF DALLAS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAIN MANAGEMENT PHYSICIANS OF DALLAS PLLC",
        "enumeration_date": "2020-04-29",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "214-948-7700"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dallas Pain Consultants",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dallas Pain Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.