REGEN PAIN MANAGEMENT, PLLC
NPI 1104481233
Durable Medical Equipment & Medical Supplies in Plano, TX

NPI Status: Active since May 03, 2019

Contact Information

6020 W PARKER RD STE 300
PLANO, TX
ZIP 75093
Phone: (469) 252-4777
Fax: (469) 518-2156

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 45D2269468
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-17-2026

About REGEN PAIN MANAGEMENT, PLLC

This page provides the complete NPI Profile along with additional information for Regen Pain Management, Pllc, a provider established in Plano, Texas operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1104481233 assigned on May 2019. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Dr. Jonathan Conrad Koning Md (Owner)

NPI
1104481233
Provider Name
REGEN PAIN MANAGEMENT, PLLC
Entity Type
Organization
Location Address
6020 W PARKER RD STE 300 PLANO, TX 75093
Location Phone
(469) 252-4777
Location Fax
(469) 518-2156
Mailing Address
6020 W PARKER RD STE 300 PLANO, TX 75093
Mailing Phone
(469) 252-4777
Mailing Fax
(469) 518-2156
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-03-2019
Last Update Date
05-03-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JONATHAN CONRAD KONING MD

Authorized Official Title
OWNER
Authorized Official Phone
(469) 252-4777

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2269468
Facility Type
Physician Office
Certificate Effective Date
June 18, 2024
Certificate Expiration Date
June 17, 2026
Laboratory Director
DR. STACY HINSON
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Regen Pain Management, Pllc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104481233, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
1
Doubled → 2
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 4 → 8 1 → 2 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 8 + 8 + 2 + 2 + 6 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1104481233.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Physical Therapy Assistant
6020 W PARKER RD STE 300
PLANO, TX 75093
Specialist/Technologist (Athletic Trainer)
6020 W PARKER RD STE 300
PLANO, TX 75093
Anesthesiology (Pain Medicine)
6020 W PARKER RD STE 300
PLANO, TX 75093
Pain Medicine (Pain Medicine)
6020 W PARKER RD STE 300
PLANO, TX 75093

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104481233, enumerated as an "organization" on May 03, 2019.

The provider is located at 6020 W PARKER RD STE 300 PLANO, TX 75093 and the phone number is (469) 252-4777.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.