REMEDY CLINIC
NPI 1710768643
Dentist - Orofacial Pain in Gulfport, MS

Q: What is Orofacial Pain, PLLC's NPI number?

The NPI number for Orofacial Pain, PLLC is 1710768643. It was assigned to this organization in the NPPES registry on October 6, 2023. The provider is doing business as Remedy Clinic.

Q: What is Orofacial Pain, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

Active since October 06, 2023

370 COURTHOUSE RD STE 103, GULFPORT, MS 39507(228) 203-1700(228) 203-1770 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 6, 2024, Oct 6, 2023 (2 updates tracked since 2023).

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About Remedy Clinic NPPES

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

REMEDY CLINIC (NPI 1710768643) is a healthcare organization registered as an orofacial pain in Gulfport, Mississippi and active in the NPI registry since October 2023. The organization lists Andrea Burger Elenbaas, Owner, as its authorized official.

NPPES Registry Identity

NPI1710768643

Entity TypeOrganization

Primary Taxonomy1223X2210X

Legal Business NameOROFACIAL PAIN, PLLC

Location Address370 COURTHOUSE RD STE 103Gulfport, MS 39507-1889

Mailing Address370 Courthouse Rd Ste 103Gulfport, MS 39507-1889 · (228) 203-1700 · Fax (228) 203-1770

Phone(228) 203-1700

Fax(228) 203-1770

Organization SubpartNo

Authorized OfficialAndrea Burger ElenbaasOwner · (228) 203-1700

Enumeration DateOctober 6, 2023

Last NPPES UpdateAugust 6, 20242 updates tracked since enumeration

NPPES CertifiedAugust 6, 2024

✔ NPI 1710768643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Orofacial PainDental Providers

Taxonomy Code1223X2210X

Definition

A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.

370 COURTHOUSE RD STE 103, Gulfport, MS 39507

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Other Names 1

Doing Business AsRemedy Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Remedy Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Andrea Elenbaas, D.M.D.

Orofacial Pain

NPI 1922125947

370 COURTHOUSE RD STE 103
Gulfport, MS 39507

(228) 203-1700

✔ PECOSSame address

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 Orofacial Pain, PLLC's NPI number?

The NPI number for Orofacial Pain, PLLC is 1710768643. It was assigned to this organization in the NPPES registry on October 6, 2023. The provider is doing business as Remedy Clinic.

Where is Orofacial Pain, PLLC located?

Orofacial Pain, PLLC is located at 370 Courthouse Rd Ste 103, Gulfport, MS 39507. The listed phone number is (228) 203-1700.

What is Orofacial Pain, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

Is Orofacial Pain, PLLC enrolled in Medicare?

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

How many clinicians bill Medicare through Orofacial Pain, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orofacial Pain) reassigns their Medicare billing to Orofacial Pain, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Orofacial Pain, PLLC was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.