Organization Active NPI

Southwest Interventional Pain Specialists, PC

  • Interventional Pain Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1891903753
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
90-100 Issued in NM
Legal business name
SOUTHWEST INTERVENTIONAL PAIN SPECIALISTS, PC
Practice address
4700 Jefferson NE
Suite 700
Albuquerque, NM 87109-2132
Phone
(505) 881-5080
Fax
(505) 872-2306
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Authorized official

Name
Dr. James Howard Rice, M.D.
Title
50 Owner and President, Southwest
Phone
(505) 881-5080

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208VP0014X
Interventional Pain Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208VP0014X 90-100 NM Primary

Addresses

Primary practice location

4700 Jefferson NE
Suite 700
Albuquerque, NM 87109-2132

Mailing address

4700 Jefferson NE
Suite 700
Albuquerque, NM 87109-2132
Phone (505) 881-5080

Other identifiers 1

IdentifierTypeStateIssuer
21889023MedicaidNM

National Provider Directory

National Provider Directory

Locations

4700 Jefferson St NE
Ste 700
Albuquerque, NM 87109
Phone (505) 881-5080

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1891903753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 JEFFERSON NE",
            "address_2": "SUITE 700",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092132",
            "telephone_number": "505-881-5080",
            "fax_number": "505-872-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 JEFFERSON NE",
            "address_2": "SUITE 700",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092132",
            "telephone_number": "505-881-5080",
            "fax_number": "505-872-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST INTERVENTIONAL PAIN SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "50 OWNER AND PRESIDENT, SOUTHWEST",
        "authorized_official_telephone_number": "505-881-5080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NM",
            "license": "90-100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21889023",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; 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.