NPIMap

Organization Active NPI

Dr. Pinocchio Otd Inc., a Professional Corporation

Doing business as Dr. Pinocchio Pediatric Wellness Center

  • Case Manager/Care Coordinator
  • Reno, NV
National Provider Identifier
1093551517
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
DR. PINOCCHIO OTD INC., A PROFESSIONAL CORPORATION
Doing business as
Dr. Pinocchio Pediatric Wellness Center
Practice address
3685 Lakeside Dr
Reno, NV 89509-5280
Phone
(775) 360-3206
Fax
(775) 490-3001
NPI assigned
Jul 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Authorized official

Name
Mallory Pinocchio
Title
Manager
Phone
(775) 984-4204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

3685 Lakeside Dr
Reno, NV 89509-5280

Mailing address

3685 Lakeside Dr
Reno, NV 89509-5280
Phone (775) 360-3206

Other names 1

  • Dr. Pinocchio Pediatric Wellness Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dr Pinocchio Otd Inc a Professional Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3685 Lakeside Dr
Reno, NV 89509
Phone (775) 360-3206

NPI Registry JSON

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1093551517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3685 LAKESIDE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095280",
            "telephone_number": "775-360-3206",
            "fax_number": "775-490-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3685 LAKESIDE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095280",
            "telephone_number": "775-360-3206",
            "fax_number": "775-490-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PINOCCHIO OTD INC., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "PINOCCHIO",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "775-984-4204"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Pinocchio Pediatric Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.