Preston Pain Institute

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

R30913 Issued in TX

Legal business name

PRESTON PAIN INSTITUTE

Practice address

12800 Preston Road
Preston Pain Institute Suite # 201
Dallas, TX 75230

Phone

(972) 386-9111

Fax

(972) 386-9118

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Leslie E Kennedy

Title

Billing Manager

Phone

(817) 488-9991

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902012677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 702453",
            "address_2": "12800 PRESTON ROAD SUITE # 201",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75230",
            "telephone_number": "972-386-9111",
            "fax_number": "972-386-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 PRESTON ROAD",
            "address_2": "PRESTON PAIN INSTITUTE SUITE # 201",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75230",
            "telephone_number": "972-386-9111",
            "fax_number": "972-386-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON PAIN INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "817-488-9991"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "R30913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preston Hollow Psychotherapy Group
• Preston Hollow Specialists
• Preston Institute of Pain Management
• Preston Modern Dentistry, PC
• Preston One Dental Studio and Orthodontics
• Preston Rehabilitation Center
• Preston Road Apothecary Inc
• Preston Road Pharmacy, Inc.
• Preston Rsvi PLLC
• Preston Sherry Sleep Solutions

• Pain Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.