Active NPI
Regional Pain Institute, LLC
- Specialist
- San Tan Valley, AZ
National Provider Identifier
1992118673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- REGIONAL PAIN INSTITUTE, LLC
- Practice address
- 36453 N Gantzel Rd Ste 101
San Tan Valley, AZ 85140-7340 - Phone
- (480) 636-1225
- Fax
- (480) 636-8890
- NPI assigned
- Jun 10, 2014
- 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
- Mr. Nathan J Martin, RN
- Title
- Administrator
- Phone
- (602) 694-8546
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
36453 N Gantzel Rd Ste 101
San Tan Valley, AZ 85140-7340
Mailing address
36453 N Gantzel Rd Ste 101
San Tan Valley, AZ 85140-7340
Phone (480) 636-1225
Other practice location 1
850 S Ironwood Dr Ste 104
Apache Junction, AZ 85120-6242
Phone (480) 636-1225
Other practice location 2
2730 S Val Vista Dr Ste 187
Gilbert, AZ 85295-1684
Phone (480) 636-1225
National Provider Directory
National Provider DirectoryLocations
21321 E Ocotillo Rd
Ste M131
Queen Creek, AZ 85142
Phone (480) 636-1225
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Peoria, IL
- NPI 1063490183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592784000000",
"number": "1992118673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36453 N GANTZEL RD STE 101",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851407340",
"telephone_number": "480-636-1225",
"fax_number": "480-636-8890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36453 N GANTZEL RD STE 101",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851407340",
"telephone_number": "480-636-1225",
"fax_number": "480-636-8890"
}
],
"practiceLocations": [
{
"address_1": "850 S Ironwood Dr Ste 104",
"address_purpose": "LOCATION",
"city": "Apache Junction",
"state": "AZ",
"postal_code": "851206242",
"country_code": "US",
"telephone_number": "480-636-1225",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2730 S Val Vista Dr Ste 187",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852951684",
"country_code": "US",
"telephone_number": "480-636-1225",
"fax_number": "480-636-8890",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "REGIONAL PAIN INSTITUTE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-10",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "NATHAN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "602-694-8546",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Tan Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.