Active NPI
Sanitatem Pain Management PLLC
- Interventional Pain Medicine Physician
- Allen, TX
National Provider Identifier
1922777457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- SANITATEM PAIN MANAGEMENT PLLC
- Practice address
- 2023 W McDermott Dr Ste 240
Allen, TX 75013-4679 - Phone
- (972) 999-1659
- Fax
- (205) 729-5887
- NPI assigned
- Sep 8, 2021
- 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
- David Clark
- Title
- Admin
- Phone
- (972) 999-1659
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
2023 W McDermott Dr Ste 240
Allen, TX 75013-4679
Mailing address
5999 Custer Road Suite 110 #522
Frisco, TX 75035-5542
Phone (972) 999-1659
National Provider Directory
National Provider DirectoryLocations
2025 W McDermott Dr
Ste 240
Allen, TX 75013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636156800000",
"number": "1922777457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5999 CUSTER ROAD SUITE 110 #522",
"city": "FRISCO",
"state": "TX",
"postal_code": "750355542",
"telephone_number": "972-999-1659",
"fax_number": "205-729-5887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2023 W MCDERMOTT DR STE 240",
"city": "ALLEN",
"state": "TX",
"postal_code": "750134679",
"telephone_number": "972-999-1659",
"fax_number": "205-729-5887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANITATEM PAIN MANAGEMENT PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-08",
"last_updated": "2021-11-06",
"certification_date": "2021-11-06",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "972-999-1659"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.