Organization Active NPI

Alfred H Grimes Professional Corporation

  • Interventional Pain Medicine Physician
  • Carson City, NV
National Provider Identifier
1306883673
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
ALFRED H GRIMES PROFESSIONAL CORPORATION
Practice address
550 W Washington St
Suite 2
Carson City, NV 89703-3829
Phone
(775) 841-7246
NPI assigned
Jun 2, 2006
Last updated
May 31, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Authorized official

Name
Alfred Hobson Grimes, M.D.NPI 1275588501
Title
Owner
Phone
(775) 841-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NV
Interventional Pain Medicine Physician 208VP0014X NV Primary

Addresses

Primary practice location

550 W Washington St
Suite 2
Carson City, NV 89703-3829

Mailing address

PO Box 34120
Reno, NV 89533-4120
Phone (775) 747-5050

Other identifiers 1

IdentifierTypeStateIssuer
100501290MedicaidNV

Other names 1

  • Pinnacle Pain Medicine Other name

National Provider Directory

National Provider Directory

Locations

550 W Washington St
Ste 2
Carson City, NV 89703
Phone (775) 841-7246

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369958400000",
    "number": "1306883673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34120",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895334120",
            "telephone_number": "775-747-5050",
            "fax_number": "775-747-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W WASHINGTON ST",
            "address_2": "SUITE 2",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033829",
            "telephone_number": "775-841-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFRED H GRIMES PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2013-05-31",
        "status": "A",
        "authorized_official_last_name": "GRIMES",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "HOBSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-841-7246",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100501290",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Pain Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 31, 2013; 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.