Organization Active NPI

Community Pain Relief Centers, PLLC

  • Interventional Pain Medicine Physician
  • Dallas, TX
National Provider Identifier
1902256233
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
G1581 Issued in TX
Legal business name
COMMUNITY PAIN RELIEF CENTERS, PLLC
Practice address
11700 Preston Rd
Ste 660-136
Dallas, TX 75230-6112
Phone
(877) 750-1027
Fax
(877) 750-1079
NPI assigned
Jun 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

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

Authorized official

Name
Dr. Johnny Lee White Jr., M.D.NPI 1336252477
Title
President
Phone
(877) 750-1027

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208VP0014X G1581 TX Primary
Certified Registered Nurse AnesthetistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 367500000X

Addresses

Primary practice location

11700 Preston Rd
Ste 660-136
Dallas, TX 75230-6112

Mailing address

11700 Preston Rd
Ste 660-136
Dallas, TX 75230-6112
Phone (877) 750-1027

National Provider Directory

National Provider Directory

Locations

11700 Preston Rd
Ste 660136
Dallas, TX 75230
Phone (877) 750-1027

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1902256233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 PRESTON RD",
            "address_2": "STE 660-136",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306112",
            "telephone_number": "877-750-1027",
            "fax_number": "877-750-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 PRESTON RD",
            "address_2": "STE 660-136",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306112",
            "telephone_number": "877-750-1027",
            "fax_number": "877-750-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PAIN RELIEF CENTERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-17",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-750-1027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "G1581",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.