Organization Active NPI

PD Ambulatory Pain Treatment Center, LLC

  • Pain Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1821565474
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
PD AMBULATORY PAIN TREATMENT CENTER, LLC
Practice address
1301 E McDowell Rd Ste 100
Phoenix, AZ 85006-2605
Phone
(480) 207-1835
NPI assigned
Oct 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Authorized official

Name
Adam Lerner
Title
General Counsel
Phone
(480) 245-6151

Specialties & licenses 1

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

Addresses

Primary practice location

1301 E McDowell Rd Ste 100
Phoenix, AZ 85006-2605

Mailing address

9977 N 90TH St Ste 350
Scottsdale, AZ 85258-4434
Phone (480) 207-1835

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540944000000",
    "number": "1821565474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9977 N 90TH ST STE 350",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584434",
            "telephone_number": "480-207-1835",
            "fax_number": "480-245-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E MCDOWELL RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062605",
            "telephone_number": "480-207-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PD AMBULATORY PAIN TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A",
        "authorized_official_last_name": "LERNER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "480-245-6151"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.