Organization Active NPI

Advanced Practice Pain Management and Anesthesia Consulting PLLC

  • Certified Registered Nurse Anesthetist
  • Henderson, TX
National Provider Identifier
1790308500
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
ADVANCED PRACTICE PAIN MANAGEMENT AND ANESTHESIA CONSULTING PLLC
Practice address
325 Wilson St
Henderson, TX 75652-5957
Phone
(903) 655-4814
Fax
(833) 654-0699
NPI assigned
May 27, 2020
Last updated
May 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Authorized official

Name
Dwight HallNPI 1770582736
Title
President
Phone
(903) 720-1459

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X Primary

Addresses

Primary practice location

325 Wilson St
Henderson, TX 75652-5957

Mailing address

1110 Turner Dr
Longview, TX 75601-6750
Phone (903) 655-4814

National Provider Directory

National Provider Directory

Locations

325 Wilson St
Henderson, TX 75652
Phone (903) 655-4814

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1790308500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 TURNER DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016750",
            "telephone_number": "903-655-4814",
            "fax_number": "833-654-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 WILSON ST",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756525957",
            "telephone_number": "903-655-4814",
            "fax_number": "833-654-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PRACTICE PAIN MANAGEMENT AND ANESTHESIA CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-27",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-720-1459"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.