Pine Lodge Business LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

PINE LODGE BUSINESS LLC

Practice address

1667 W Plano Pkwy
Plano, TX 75075-8666

Phone

(214) 606-0550

NPI assigned

Dec 11, 2024

Last updated

Dec 12, 2024By 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

Mrs. Nissa Nasir Husain

Title

Owner

Phone

(214) 606-0550

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1205643442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3639 COPPER STONE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752876257",
            "telephone_number": "214-606-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1667 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750758666",
            "telephone_number": "214-606-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE LODGE BUSINESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "HUSAIN",
        "authorized_official_first_name": "NISSA NASIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-606-0550",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pillar Health Solutions, PLLC
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• Michael Alan Pincus, DDS
• Scott Pincus, DMD
• Jessica Pinder, LPC
• Bonnie Kay Pine, O.T.R.
• Robert Anthony Pine, M.S., L.P.C.
• Patrick Pinkerton, MS, ATC, LAT
• Christopher Cody Pinkham, LPC-S
• Pinnacle Dental

• Alzheimer Center (Dementia Center) in Plano, TX
• Providers in Plano, TX by specialty
• Alzheimer Center (Dementia Center) in Texas

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