Organization Active NPI

Denton Physical Medicine Pain

  • Physical Medicine & Rehabilitation Physician
  • Flower Mound, TX
National Provider Identifier
1891770731
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
J8969 Issued in TX
Legal business name
DENTON PHYSICAL MEDICINE PAIN
Practice address
4320 Windsor Centre TRL
Ste 300
Flower Mound, TX 75028-1858
Phone
(972) 539-1200
Fax
(972) 539-1221
NPI assigned
Dec 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Authorized official

Name
Dr. Parchelle Deniese Connally, MD
Title
Medical Director
Phone
(972) 539-1200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X J8969 TX Primary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X J8969 TX

Addresses

Primary practice location

4320 Windsor Centre TRL
Ste 300
Flower Mound, TX 75028-1858

Mailing address

5801 Shorefront LN
Flower Mound, TX 75022-5698
Phone (972) 539-1200

Other identifiers 1

IdentifierTypeStateIssuer
036324401MedicaidTX

Other names 1

  • Parchelle D Connally MD Doing business as

National Provider Directory

National Provider Directory

Locations

1422 W Main St
Ste 200
Lewisville, TX 75067
Phone (972) 434-0900

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1891770731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 SHOREFRONT LN",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750225698",
            "telephone_number": "972-539-1200",
            "fax_number": "972-539-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 WINDSOR CENTRE TRL",
            "address_2": "STE 300",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281858",
            "telephone_number": "972-539-1200",
            "fax_number": "972-539-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTON PHYSICAL MEDICINE PAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "CONNALLY",
        "authorized_official_first_name": "PARCHELLE",
        "authorized_official_middle_name": "DENIESE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "972-539-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "J8969",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "J8969",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036324401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parchelle D Connally MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.