NPIMap

Organization Active NPI

NM Pain Care Specialist, LLC

  • Interventional Pain Medicine Physician
  • Rio Rancho, NM
National Provider Identifier
1689957060
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
NM PAIN CARE SPECIALIST, LLC
Doing business as
USA Pain Clinics
Practice address
914 Pinehurst Rd SE
Suite 102
Rio Rancho, NM 87124-2219
Phone
(505) 896-9412
Fax
(505) 896-9461
NPI assigned
Sep 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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

Authorized official

Name
Rob Miller
Title
Franchisee
Phone
(505) 896-9412

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

914 Pinehurst Rd SE
Suite 102
Rio Rancho, NM 87124-2219

Mailing address

914 Pinehurst Rd SE
Suite 102
Rio Rancho, NM 87124-2219
Phone (505) 896-9412

Other names 1

  • USA Pain Clinics Doing business as

National Provider Directory

National Provider Directory

Locations

3820 Commons Ave NE
Albuquerque, NM 87109
Phone (505) 343-1311

3874 Masthead St NE
Albuquerque, NM 87109
Phone (505) 843-8758

914 Pinehurst Rd SE
Ste 102
Rio Rancho, NM 87124
Phone (505) 896-9412

914 Pinehurst Rd SE
#102
Rio Rancho, NM 87124
Phone (505) 896-9412

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1689957060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 PINEHURST RD SE",
            "address_2": "SUITE 102",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871242219",
            "telephone_number": "505-896-9412",
            "fax_number": "505-896-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 PINEHURST RD SE",
            "address_2": "SUITE 102",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871242219",
            "telephone_number": "505-896-9412",
            "fax_number": "505-896-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NM PAIN CARE SPECIALIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "FRANCHISEE",
        "authorized_official_telephone_number": "505-896-9412"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USA Pain Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.