Pinnacle Peak Oral Surgery, PLLC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

D9251 Issued in AZ

Legal business name

PINNACLE PEAK ORAL SURGERY, PLLC

Practice address

8575 E Princess Dr
Suite #217
Scottsdale, AZ 85255-5483

Phone

(480) 342-8200

NPI assigned

Jun 12, 2015

Last updated

Jun 12, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eugene Jung Kim, DDSNPI 1851389225

Title

Owner

Phone

(303) 513-7371

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eugene Jung Kim, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Scottsdale, AZ
  • NPI 1851389225
  NPD (past) Authorized official
• Douglas William Beals, DDS MS

  • Dentist
  • Scottsdale, AZ
  • NPI 1528073103
  NPD (past)

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1063893295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 WYANDOT ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802112951",
            "telephone_number": "303-513-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8575 E PRINCESS DR",
            "address_2": "SUITE #217",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852555483",
            "telephone_number": "480-342-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE PEAK ORAL SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-12",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "JUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-513-7371",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "D9251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinnacle Peak Dentalcare
• Pinnacle Peak Dentistry PC
• Pinnacle Peak Endodontics PLLC
• Pinnacle Peak Eye Care and Optical PC
• Pinnacle Peak Neurology, LLC
• Pinnacle Peak Recovery, LLC
• Pinnacle Peak Recovery, LLC
• Pinnacle Peak Recovery, LLC
• Pinnacle Peak Recovery, LLC
• Pinnacle Peak Surgical Assistants LLC

• Oral and Maxillofacial Surgery Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; 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.