Active NPI
Seattle Pain Center Medical Corporation
- Pain Medicine (Anesthesiology) Physician
- Tacoma, WA
National Provider Identifier
1730526641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- SEATTLE PAIN CENTER MEDICAL CORPORATION
- Practice address
- 1628 S Mildred St
Suite 105
Tacoma, WA 98465-1627 - Phone
- (253) 448-8170
- Fax
- (425) 793-5256
- NPI assigned
- May 31, 2013
- Organization subpart
- Yes
- Parent organization
- SEATTLE PAIN CENTER MEDICAL CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Frank Danger Li, MD
- Title
- Ceo/Owner
- Phone
- (206) 805-8885
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary | ||
| Pain Medicine Physician | 208VP0000X | |||
| Interventional Pain Medicine Physician | 208VP0014X |
Addresses
Primary practice location
1628 S Mildred St
Suite 105
Tacoma, WA 98465-1627
Mailing address
801 SW 16TH St.
Ste. 121
Renton, WA 98057-2628
Phone (206) 805-8885
Other names 1
- Seattle Pain Center
National Provider Directory
National Provider Directory- Part of
- Seatle Pain Center
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Pain Medicine (Anesthesiology) Physician
- Seattle, WA
- NPI 1972777951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1463616000000",
"number": "1730526641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 SW 16TH ST.",
"address_2": "STE. 121",
"city": "RENTON",
"state": "WA",
"postal_code": "980572628",
"telephone_number": "206-805-8885",
"fax_number": "206-805-8886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1628 S MILDRED ST",
"address_2": "SUITE 105",
"city": "TACOMA",
"state": "WA",
"postal_code": "984651627",
"telephone_number": "253-448-8170",
"fax_number": "425-793-5256"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEATTLE PAIN CENTER MEDICAL CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SEATTLE PAIN CENTER MEDICAL CORPORATION",
"enumeration_date": "2013-05-31",
"last_updated": "2016-05-19",
"status": "A",
"authorized_official_last_name": "LI",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "DANGER",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "206-805-8885",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, 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": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Seattle Pain Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.