Organization Active NPI

Ikon Pain Management Consultants PLLC

  • Pain Clinic/Center
  • Midlothian, TX
National Provider Identifier
1982249405
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
IKON PAIN MANAGEMENT CONSULTANTS PLLC
Practice address
430 Hawkins Run Rd Ste 1
Midlothian, TX 76065-6660
Phone
(469) 964-0641
Fax
(833) 941-2603
NPI assigned
Nov 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Authorized official

Name
Dr. Spiro Adel Khoury, MD
Title
Physician Owner
Phone
(469) 964-0641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

430 Hawkins Run Rd Ste 1
Midlothian, TX 76065-6660

Mailing address

430 Hawkins Run Rd Ste 1
Midlothian, TX 76065-6660
Phone (469) 964-0641

National Provider Directory

National Provider Directory

Locations

8300 Douglas Ave
Ste 800
Dallas, TX 75225
Phone (817) 381-6813

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24836/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1982249405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 HAWKINS RUN RD STE 1",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760656660",
            "telephone_number": "469-964-0641",
            "fax_number": "833-941-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 HAWKINS RUN RD STE 1",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760656660",
            "telephone_number": "469-964-0641",
            "fax_number": "833-941-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IKON PAIN MANAGEMENT CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-07",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "KHOURY",
        "authorized_official_first_name": "SPIRO",
        "authorized_official_middle_name": "ADEL",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "469-964-0641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.