NPIMap

Organization Active NPI

Pinnacle Medical Group Hicks PC

Doing business as Pinnacle Medical Group

  • Primary Care Clinic/Center
  • Carson City, NV
National Provider Identifier
1174391031
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PINNACLE MEDICAL GROUP HICKS PC
Doing business as
Pinnacle Medical Group
Practice address
180 E Winnie LN
Carson City, NV 89706-2268
Phone
(775) 204-4000
NPI assigned
Dec 19, 2023
Last updated
Dec 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Authorized official

Name
Maria Elvira Rogers
Title
Manager
Phone
(775) 848-5125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

180 E Winnie LN
Carson City, NV 89706-2268

Mailing address

699 Sierra Rose Dr # Ab
Reno, NV 89511-2369
Phone (775) 204-4000

Other practice location 1

699 Sierra Rose Dr # Ab
Reno, NV 89511-2369
Phone (775) 204-4000

Other practice location 2

2861 Northtowne Ln
Reno, NV 89512-2058
Phone (775) 204-4000

Other names 1

  • Pinnacle Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pinnacle Medical Group Hicks PC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

699 Sierra Rose Dr
Reno, NV 89511
Phone (775) 299-4649

NPI Registry JSON

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1174391031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 SIERRA ROSE DR # AB",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112369",
            "telephone_number": "775-204-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 E WINNIE LN",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897062268",
            "telephone_number": "775-204-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "699 Sierra Rose Dr # Ab",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895112369",
            "country_code": "US",
            "telephone_number": "775-204-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2861 Northtowne Ln",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895122058",
            "country_code": "US",
            "telephone_number": "775-204-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PINNACLE MEDICAL GROUP HICKS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ELVIRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "775-848-5125"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.