NPIMap

Organization Active NPI

Mesa Pain Specialists, LLC

  • Pain Clinic/Center
  • Grand Junction, CO
National Provider Identifier
1740790195
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
MESA PAIN SPECIALISTS, LLC
Practice address
2460 Patterson Rd Unit 4
Grand Junction, CO 81505-1027
Phone
(970) 245-0990
Fax
(970) 644-6446
NPI assigned
Oct 11, 2017
Last updated
Oct 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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

Authorized official

Name
Marie Moore
Title
Finance
Phone
(970) 245-0990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X NU Primary

Addresses

Primary practice location

2460 Patterson Rd Unit 4
Grand Junction, CO 81505-1027

Mailing address

2460 Patterson Rd Unit 4
Grand Junction, CO 81505-1027
Phone (970) 245-0990

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507680000000",
    "number": "1740790195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 PATTERSON RD UNIT 4",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051027",
            "telephone_number": "970-245-0990",
            "fax_number": "970-644-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 PATTERSON RD UNIT 4",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051027",
            "telephone_number": "970-245-0990",
            "fax_number": "970-644-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA PAIN SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "FINANCE",
        "authorized_official_telephone_number": "970-245-0990"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; 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.