Organization Active NPI

Pinnacle Pediatrics and Internal Medicine Professional LLC

  • Primary Care Clinic/Center
  • Denver, CO
National Provider Identifier
1275359952
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PINNACLE PEDIATRICS AND INTERNAL MEDICINE PROFESSIONAL LLC
Practice address
1776 Curtis St Ste 130
Denver, CO 80202-2541
Phone
(720) 239-7725
Fax
(720) 239-7730
NPI assigned
Nov 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Authorized official

Name
Walter Wilson
Title
Owner
Phone
(720) 223-6177

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1776 Curtis St Ste 130
Denver, CO 80202-2541

Mailing address

1776 Curtis St Ste 130
Denver, CO 80202-2541
Phone (720) 239-7725

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2316079Pinnacle Pediatrics and Internal Medicine1776 Curtis Street, Suite 130, Denver, CO 80202Provider-performed microscopyDec 26, 2026

National Provider Directory

National Provider Directory
Tax ID family
Pinnacle Pediatrics and Internal Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1275359952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 CURTIS ST STE 130",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802022541",
            "telephone_number": "720-239-7725",
            "fax_number": "720-239-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 CURTIS ST STE 130",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802022541",
            "telephone_number": "720-239-7725",
            "fax_number": "720-239-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE PEDIATRICS AND INTERNAL MEDICINE PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-223-6177"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.