Organization Active NPI

Neuroradiology & Pain Solutions, PLLC

  • Neuroradiology Physician
  • Oklahoma City, OK
National Provider Identifier
1821843897
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
Legal business name
NEURORADIOLOGY & PAIN SOLUTIONS, PLLC
Practice address
1000 N Lincoln Blvd Ste 4000
Oklahoma City, OK 73104-3252
Phone
(405) 271-4912
Fax
(405) 271-3091
NPI assigned
Apr 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Authorized official

Name
Dan TD Nguyen, MDNPI 1598753618
Title
Owner / Provider
Phone
(202) 258-1455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085N0700X Primary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X

Addresses

Primary practice location

1000 N Lincoln Blvd Ste 4000
Oklahoma City, OK 73104-3252

Mailing address

2716 Open Range Rd
Edmond, OK 73034-3484
Phone (202) 258-1455

Other practice location 1

8100 S Walker Ave Bldg C
Oklahoma City, OK 73139-9404
Phone (405) 602-6500

Other practice location 2

3300 Healthplex Pkwy
Norman, OK 73072-9749
Phone (405) 515-1000

Other practice location 3

4110 S 100th East Ave Ste 201
Tulsa, OK 74146-3629
Phone (918) 857-7246

Other identifiers 1

IdentifierTypeStateIssuer
201300420AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241024003963 OK Part B Supplier - Clinic/Group Practice 2668905977 Receives reassigned benefits from 4 practitioners
Practice locations: Edmond, OK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1821843897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 OPEN RANGE RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343484",
            "telephone_number": "202-258-1455",
            "fax_number": "405-643-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N LINCOLN BLVD STE 4000",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731043252",
            "telephone_number": "405-271-4912",
            "fax_number": "405-271-3091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8100 S Walker Ave Bldg C",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731399404",
            "country_code": "US",
            "telephone_number": "405-602-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Healthplex Pkwy",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730729749",
            "country_code": "US",
            "telephone_number": "405-515-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4110 S 100th East Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741463629",
            "country_code": "US",
            "telephone_number": "918-857-7246",
            "fax_number": "918-359-5828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEURORADIOLOGY & PAIN SOLUTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "TD",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "202-258-1455",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201300420A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.