Active NPI
Pain Management Depot Inc
- Multi-Specialty Clinic/Center
- Las Vegas, NV
National Provider Identifier
1841810686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- PAIN MANAGEMENT DEPOT INC
- Practice address
- 811 S Decatur Blvd
Las Vegas, NV 89107-3933 - Phone
- (702) 808-6501
- Fax
- (702) 685-8450
- NPI assigned
- Apr 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Franklin Akioyame, DNP
- Title
- Owner
- Phone
- (702) 992-3563
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
811 S Decatur Blvd
Las Vegas, NV 89107-3933
Mailing address
2465 Reynolds Ave Ste 301
N Las Vegas, NV 89030-7296
Phone (702) 992-3563
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2600379066 | Other | NV | DRIVERS LICENSE |
National Provider Directory
National Provider DirectoryLocations
2465 Reynolds Ave
Ste 301
North Las Vegas, NV 89030
Phone (702) 916-0685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639526400000",
"number": "1841810686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2465 REYNOLDS AVE STE 301",
"city": "N LAS VEGAS",
"state": "NV",
"postal_code": "890307296",
"telephone_number": "702-992-3563",
"fax_number": "725-204-5455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 S DECATUR BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891073933",
"telephone_number": "702-808-6501",
"fax_number": "702-685-8450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN MANAGEMENT DEPOT INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-22",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A",
"authorized_official_last_name": "AKIOYAME",
"authorized_official_first_name": "FRANKLIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-992-3563",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "2600379066",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.