Phoenix Pain Treatment Centers, PLLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

PHOENIX PAIN TREATMENT CENTERS, PLLC

Practice address

9140 W Thomas Rd Ste B-106
Phoenix, AZ 85037-3378

Phone

(602) 362-4747

Fax

(623) 463-1111

NPI assigned

Jun 23, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Trever Jay Penny, DC

Title

Managing Member

Phone

(602) 362-4747

Specialties & licenses 2

Addresses

Tax ID family

Phoenix Pain Treatment Centers PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Phoenix Pain Treatment Centers, PLLC

  • Pain Clinic/Center
  • Phoenix, AZ
  • NPI 1255979332
  NPD tax ID

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1982124582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9140 W THOMAS RD STE B-106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373378",
            "telephone_number": "602-362-4747",
            "fax_number": "623-463-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9140 W THOMAS RD STE B-106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373378",
            "telephone_number": "602-362-4747",
            "fax_number": "623-463-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX PAIN TREATMENT CENTERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-23",
        "last_updated": "2022-07-21",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "PENNY",
        "authorized_official_first_name": "TREVER",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "602-362-4747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AZ",
            "license": "OTC8621",
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Outpatient Surgery Center LLC
• Phoenix Pain Institute, Inc.
• Phoenix Pain Treatment Center
• Phoenix Pain Treatment Center
• Phoenix Pain Treatment Centers, PLLC
• Phoenix Pediatric Dental
• Phoenix Pediatric Dental, LLC
• Phoenix Pediatric Dialysis Center LLC
• Phoenix Pediatrics LTD
• Phoenix Pet Partners, LLC

• Pain Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pain Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.