Organization Active NPI

Regional Pain Institute, LLC

  • Specialist
  • San Tan Valley, AZ
National Provider Identifier
1992118673
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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

Updated by the provider on Jun 22, 2020

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.