NPIMap

Organization Active NPI

North Texas Pain Specialists PA

  • Pain Medicine Physician
  • Desoto, TX
National Provider Identifier
1821254673
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
L3629 Issued in TX
Legal business name
NORTH TEXAS PAIN SPECIALISTS PA
Practice address
927 Ironwood Dr
Desoto, TX 75115-2127
Phone
(214) 632-5184
NPI assigned
Jul 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Authorized official

Name
Christopher Wayne Dyer, D.O.
Title
Owner
Phone
(214) 632-5184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X L3629 TX Primary

Addresses

Primary practice location

927 Ironwood Dr
Desoto, TX 75115-2127

Mailing address

PO Box 560993
The Colony, TX 75056-0993
Phone (972) 668-7460

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1821254673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560993",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750560993",
            "telephone_number": "972-668-7460",
            "fax_number": "972-668-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 IRONWOOD DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152127",
            "telephone_number": "214-632-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS PAIN SPECIALISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-632-5184",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "L3629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.