Organization Active NPI

Pinnacle Neuromonitoring, LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Fort Worth, TX
National Provider Identifier
1023551397
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
PINNACLE NEUROMONITORING, LLC
Practice address
5573 Seabury Dr
Fort Worth, TX 76137-5393
Phone
(817) 897-7494
Fax
(817) 841-1919
NPI assigned
Nov 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alex Kimmel
Title
Sole Member
Phone
(817) 897-7494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZE0600X Primary

Addresses

Primary practice location

5573 Seabury Dr
Fort Worth, TX 76137-5393

Mailing address

5573 Seabury Dr
Fort Worth, TX 76137-5393
Phone (817) 897-7494

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1023551397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5573 SEABURY DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761375393",
            "telephone_number": "817-897-7494",
            "fax_number": "817-841-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5573 SEABURY DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761375393",
            "telephone_number": "817-897-7494",
            "fax_number": "817-841-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE NEUROMONITORING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "KIMMEL",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "817-897-7494"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.