Pinnacle Dental Specialty Group LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

PINNACLE DENTAL SPECIALTY GROUP LLC

Practice address

1821 N Trekell Rd Ste 6
Casa Grande, AZ 85122-1705

Phone

(520) 552-6446

NPI assigned

Nov 9, 2021

Last updated

Jan 27, 2023By 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

James Sather, DDS

Title

Owner, Member

Phone

(402) 770-2845

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1306502927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 N ORACLE RD STE 110",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045676",
            "telephone_number": "520-209-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 N TREKELL RD STE 6",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851221705",
            "telephone_number": "520-552-6446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6600 N Oracle Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857045676",
            "country_code": "US",
            "telephone_number": "402-770-3845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PINNACLE DENTAL SPECIALTY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-09",
        "last_updated": "2023-01-27",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "SATHER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER, MEMBER",
        "authorized_official_telephone_number": "402-770-2845",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endodontics in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.