Organization Active NPI

Premier Pain Specialists LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Phoenix, AZ
National Provider Identifier
1831711019
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
PREMIER PAIN SPECIALISTS LLC
Practice address
4045 E Bell Rd Ste 147
Phoenix, AZ 85032-2239
Phone
(602) 562-4197
NPI assigned
May 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Authorized official

Name
Dr. Jeffrey A Lynn, DC
Title
Ceo
Phone
(026) 795-0207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

4045 E Bell Rd Ste 147
Phoenix, AZ 85032-2239

Mailing address

4045 E Bell Rd Ste 149
Phoenix, AZ 85032-2239
Phone (602) 795-0207

Other practice location 1

9242 W Union Hills Dr Ste 100
Peoria, AZ 85382-8219
Phone (602) 795-0207

Other practice location 2

8865 E Bell Rd Ste 101
Scottsdale, AZ 85260-1594
Phone (602) 795-0207

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Phoenix

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1831711019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 E BELL RD STE 149",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322239",
            "telephone_number": "602-795-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 E BELL RD STE 147",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322239",
            "telephone_number": "602-562-4197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9242 W Union Hills Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853828219",
            "country_code": "US",
            "telephone_number": "602-795-0207",
            "fax_number": "602-795-4514",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8865 E Bell Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852601594",
            "country_code": "US",
            "telephone_number": "602-795-0207",
            "fax_number": "602-795-4514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER PAIN SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-11",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "026-795-0207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Phoenix",
            "affiliation": "N",
            "address_1": "4045 E Bell Rd Ste 147",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850322239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 12, 2021; 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.