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PHOENIX PAIN CLINIC, PLLC
NPI 1356615074
Pain Medicine - Pain Medicine in Dallas, TX

Active since February 27, 2012
1110 N BUCKNER BLVD STE 100, DALLAS, TX 75218(214) 324-9400(214) 324-9402 Get Directions Write a Review

NPPES record last updated: February 27, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Phoenix Pain Clinic, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX PAIN CLINIC, PLLC (NPI 1356615074) is a healthcare organization registered as a pain medicine in Dallas, Texas and active in the NPI registry since February 2012. The organization lists Salvatore R Campo, Physician/member, as its authorized official.

NPPES Registry Identity

NPI1356615074
Entity TypeOrganization
Primary Taxonomy208VP0000X
Legal Business NamePHOENIX PAIN CLINIC, PLLC
Location Address1110 N BUCKNER BLVD STE 100Dallas, TX 75218-3498
Mailing Address1110 N Buckner Blvd Ste 100Dallas, TX 75218-3498 · (214) 324-9400 · Fax (214) 324-9402
Phone(214) 324-9400
Fax(214) 324-9402
Organization SubpartNo
Authorized OfficialSalvatore R CampoPhysician/member · (214) 324-9400
Enumeration DateFebruary 27, 2012
✔ NPI 1356615074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
1110 N BUCKNER BLVD STE 100, Dallas, TX 75218
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phoenix Pain Clinic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Phoenix Pain Clinic, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Jose Duarte, M.D.
Anesthesiology
NPI 1720039274
1110 N BUCKNER BLVD SUITE 100
Dallas, TX 75218
(214) 324-9400
✔ PECOSSame address
Salvatore Campo, D.O.
Anesthesiology
NPI 1134179385
1110 N BUCKNER BLVD SUITE 100
Dallas, TX 75218
(214) 324-1442
✔ PECOS✔ Accepts MedicareSame address
Kenneth Dority, D.O.
General Practice
NPI 1659313328
2912 KRAFT ST STE 30
Arlington, TX 76010
(402) 885-0365
✔ PECOS22 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Pain Clinic, PLLC's NPI number?

The NPI number for Phoenix Pain Clinic, PLLC is 1356615074. It was assigned to this organization in the NPPES registry on February 27, 2012.

Where is Phoenix Pain Clinic, PLLC located?

Phoenix Pain Clinic, PLLC is located at 1110 N Buckner Blvd Ste 100, Dallas, TX 75218. The listed phone number is (214) 324-9400.

What is Phoenix Pain Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is Phoenix Pain Clinic, PLLC enrolled in Medicare?

Yes. Phoenix Pain Clinic, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Phoenix Pain Clinic, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Phoenix Pain Clinic, PLLC, in Anesthesiology and General Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Phoenix Pain Clinic, PLLC was last updated on February 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.