Organization Active NPI

Pain Dynamics, LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Irvine, CA
National Provider Identifier
1710246830
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
PAIN DYNAMICS, LLC
Practice address
1565 McGaw Ave Ste B
Suite B
Irvine, CA 92614-5670
Phone
(949) 973-6112
Fax
(562) 424-7601
NPI assigned
May 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Authorized official

Name
Mr. David White
Title
Director
Phone
(949) 973-6112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZE0600X Primary

Addresses

Primary practice location

1565 McGaw Ave Ste B
Suite B
Irvine, CA 92614-5670

Mailing address

1565 McGaw Ave Ste B
Suite B
Irvine, CA 92614-5670
Phone (949) 973-6112

National Provider Directory

National Provider Directory

Locations

1565 McGaw Ave
Ste B
Irvine, CA 92614
Phone (800) 820-8803

NPI Registry JSON

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1710246830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 MCGAW AVE STE B",
            "address_2": "SUITE B",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145670",
            "telephone_number": "949-973-6112",
            "fax_number": "562-424-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 MCGAW AVE STE B",
            "address_2": "SUITE B",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145670",
            "telephone_number": "949-973-6112",
            "fax_number": "562-424-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN DYNAMICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "949-973-6112",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.