Regen Pain Management, PLLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

Q0953 Issued in TX

Legal business name

REGEN PAIN MANAGEMENT, PLLC

Practice address

6020 W Parker Rd Ste 300
Plano, TX 75093-8177

Phone

(469) 252-4777

Fax

(469) 518-2156

NPI assigned

May 16, 2016

Last updated

Mar 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan C Koning, MDNPI 1710216841

Title

President

Phone

(469) 252-4777

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Conrad Koning, M.D.

  • Pain Medicine Physician
  • Plano, TX
  • NPI 1710216841
  Medicare reassignment NPD Authorized official
• Alexandra J Hartke

  • Adult Health Nurse Practitioner
  • Frisco, TX
  • NPI 1992283790
  Medicare reassignment NPD

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1699122101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 W PARKER RD STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938177",
            "telephone_number": "469-252-4777",
            "fax_number": "469-518-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 W PARKER RD STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938177",
            "telephone_number": "469-252-4777",
            "fax_number": "469-518-2156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11500 Hwy 121 Bldg 400",
            "address_2": "suite 420",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "75035",
            "country_code": "US",
            "telephone_number": "469-252-4777",
            "fax_number": "469-518-2156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REGEN PAIN MANAGEMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "KONING",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-252-4777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "Q0953",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venus Refahiyat
• Regal Medical Supplies
• John D Regan, DDS
• Regen Pain Management
• Regen Pain Management, PLLC
• Regenerative Practitioners Group
• Regenerative Spine Pain & Wellness Institute PLLC
• Catherine Rose Regetz, M.S. CCC-SLP
• Michelle Rego
• Rehab Accomplished Inc

• Pain Medicine (Anesthesiology) Physician in Plano, TX
• Providers in Plano, TX by specialty
• Pain Medicine (Anesthesiology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.