Organization Active NPI

Pain Surgery Center, LLC

  • Pain Clinic/Center
  • Plano, TX
National Provider Identifier
1689834202
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
PAIN SURGERY CENTER, LLC
Practice address
3060 Communications Pkwy
Suite 104
Plano, TX 75093-8449
Phone
(214) 317-4666
Fax
(214) 317-4667
NPI assigned
Jun 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Jay Humphrey, M.D.
Title
Ceo
Phone
(214) 317-4666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

3060 Communications Pkwy
Suite 104
Plano, TX 75093-8449

Mailing address

PO Box 678473
Dallas, TX 75267-8473
Phone (214) 317-4666

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1689834202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678473",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752678473",
            "telephone_number": "214-317-4666",
            "fax_number": "214-317-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 COMMUNICATIONS PKWY",
            "address_2": "SUITE 104",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938449",
            "telephone_number": "214-317-4666",
            "fax_number": "214-317-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "HUMPHREY",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-317-4666",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.