NPIMap

Organization Active NPI

Pinnacle Dermatology, SC

  • Non-Pharmacy Dispensing Site
  • Monroe, NC
National Provider Identifier
1396416186
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
PINNACLE DERMATOLOGY, SC
Doing business as
Pinnacle Dermatology, Monroe
Practice address
701 E Roosevelt Blvd
Monroe, NC 28112-5170
Phone
(704) 289-9448
NPI assigned
Sep 22, 2021
Organization subpart
Yes
Parent organization
PINNACLE DERMATOLOGY, SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Authorized official

Name
Paula Kaye Lapinski
Title
Owner
Phone
(815) 744-8554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

701 E Roosevelt Blvd
Monroe, NC 28112-5170

Mailing address

5141 Virginia Way Ste 350
Brentwood, TN 37027-2319

Other names 1

  • Pinnacle Dermatology, Monroe Doing business as

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
34D0681747Pinnacle Dermatology Dba Qualderm Partners701 East Roosevelt Blvd, Suite 200a, Monroe, NC 28112ComplianceMar 31, 2027

National Provider Directory

National Provider Directory
Tax ID family
Pinnacle Dermatolgy SC32 organizations share this tax ID, including this one
Part of
Pinnacle Dermatolgy SC

Other organizations with this tax ID 31

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

View all 31

Locations

701 E Roosevelt Blvd
Monroe, NC 28112
Phone (704) 289-9448

NPI Registry JSON

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1396416186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5141 VIRGINIA WAY STE 350",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E ROOSEVELT BLVD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125170",
            "telephone_number": "704-289-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE DERMATOLOGY, SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINNACLE DERMATOLOGY, SC",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "LAPINSKI",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-744-8554"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Dermatology, Monroe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.