Active NPI
Crimson Pain Management, LLC
- Pain Medicine Physician
- Overland Park, KS
National Provider Identifier
1740528637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- CRIMSON PAIN MANAGEMENT, LLC
- Practice address
- 5701 W. 119TH St Ste 102
Overland Park, KS 66209 - Phone
- (913) 498-6124
- Fax
- (913) 498-6117
- NPI assigned
- Jan 28, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Dontay Ross
- Title
- Office Manager
- Phone
- (913) 242-7570
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | Primary | ||
| Interventional Pain Medicine Physician | 208VP0014X |
Addresses
Primary practice location
5701 W. 119TH St Ste 102
Overland Park, KS 66209
Mailing address
5401 College Blvd Ste 111
Leawood, KS 66211-1626
Phone (913) 242-7570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7905560001 | Other | KS | DME |
Other names 1
- Interventional Pain Management Specialist
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
Enrollment records 3
National Provider Directory
National Provider DirectoryLocations
5401 College Blvd
Leawood, KS 66211
5401 College Blvd
Ste 111
Overland Park, KS 66211
Phone (913) 242-7570
3840 W 75th St
Prairie Vlg, KS 66208
Phone (913) 384-9600
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DHIBDD
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Overland Park, KS
- NPI 1841764107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755734400000",
"number": "1740528637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 COLLEGE BLVD STE 111",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662111626",
"telephone_number": "913-242-7570",
"fax_number": "913-242-7572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 W. 119TH ST STE 102",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "66209",
"telephone_number": "913-498-6124",
"fax_number": "913-498-6117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRIMSON PAIN MANAGEMENT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-28",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A",
"authorized_official_last_name": "ROSS",
"authorized_official_first_name": "DONTAY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "913-242-7570",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME",
"identifier": "7905560001",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Interventional Pain Management Specialist",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.