Organization Active NPI

Interventional Pain Clinics LLC

  • Interventional Pain Medicine Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1780036632
Registry record updated Aug 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
INTERVENTIONAL PAIN CLINICS LLC
Practice address
3401 Pga Blvd
Suite 225
Palm Beach Gardens, FL 33410-2823
Phone
(561) 248-1166
Fax
(845) 913-1263
NPI assigned
Jul 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2016

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

Authorized official

Name
Richardo Leano, MD
Title
Owner; MD
Phone
(561) 248-1166

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

3401 Pga Blvd
Suite 225
Palm Beach Gardens, FL 33410-2823

Mailing address

3401 Pga Blvd
Suite 225
Palm Beach Gardens, FL 33410-2823
Phone (561) 248-1166

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1467590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470528000000",
    "number": "1780036632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 PGA BLVD",
            "address_2": "SUITE 225",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102823",
            "telephone_number": "561-248-1166",
            "fax_number": "845-913-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 PGA BLVD",
            "address_2": "SUITE 225",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102823",
            "telephone_number": "561-248-1166",
            "fax_number": "845-913-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL PAIN CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-04",
        "last_updated": "2016-08-07",
        "status": "A",
        "authorized_official_last_name": "LEANO",
        "authorized_official_first_name": "RICHARDO",
        "authorized_official_title_or_position": "OWNER; MD",
        "authorized_official_telephone_number": "561-248-1166",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "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": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.

Verify at the official NPI Registry.