Organization Active NPI

Pinnacle Health Occmed Clinic, LLC

  • Rehabilitation Chiropractor
  • San Juan, TX
National Provider Identifier
1457590549
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
9416 Issued in TX
Legal business name
PINNACLE HEALTH OCCMED CLINIC, LLC
Practice address
1201 N Raul Longoria Rd
Ste. P
San Juan, TX 78589-3727
Phone
(956) 702-4255
Fax
(956) 702-4779
NPI assigned
Feb 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Authorized official

Name
Mr. Frank L. Perez, B.S., AT/L
Title
Director of Operations
Phone
(956) 702-4255

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X 9416 TX Primary
Occupational Health ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NX0100X 9416 TX

Addresses

Primary practice location

1201 N Raul Longoria Rd
Ste. P
San Juan, TX 78589-3727

Mailing address

1201 N Raul Longoria Rd
Ste. P
San Juan, TX 78589-3727
Phone (956) 702-4255

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1457590549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N RAUL LONGORIA RD",
            "address_2": "STE. P",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893727",
            "telephone_number": "956-702-4255",
            "fax_number": "956-702-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N RAUL LONGORIA RD",
            "address_2": "STE. P",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893727",
            "telephone_number": "956-702-4255",
            "fax_number": "956-702-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE HEALTH OCCMED CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "956-702-4255",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S., AT/L"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "9416",
            "primary": true
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Occupational Health",
            "state": "TX",
            "license": "9416",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.