Organization Active NPI

Sanitatem Pain Management PLLC

  • Interventional Pain Medicine Physician
  • Allen, TX
National Provider Identifier
1922777457
Registry record updated Nov 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
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

Updated by the provider on Nov 6, 2021

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)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.