Pinnacle Pain & Spine Consultants, PLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

42847 Issued in AZ

Legal business name

PINNACLE PAIN & SPINE CONSULTANTS, PLC

Practice address

9023 E Desert Cove Ave Ste 101
Scottsdale, AZ 85260-6779

Phone

(480) 407-6400

Fax

(480) 407-6520

NPI assigned

Sep 20, 2017

Organization subpart

Yes

Parent organization

PINNACLE PAIN & SPINE CONSULTANTS, PLC-DMEAs reported in NPPES

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

Authorized official

Name

Dr. Matthew Crooks, MD

Title

Physician Owner

Phone

(480) 407-6400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pinnacle Pain & Spine Consultants, PLC-DME Doing business as

Part of

Pinnacle Pain Spine Consultants PLC

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505865600000",
    "number": "1477062677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE STE 304A",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088729",
            "telephone_number": "480-407-6402",
            "fax_number": "623-777-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9023 E DESERT COVE AVE STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606779",
            "telephone_number": "480-407-6400",
            "fax_number": "480-407-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE PAIN & SPINE CONSULTANTS, PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINNACLE PAIN & SPINE CONSULTANTS, PLC-DME",
        "enumeration_date": "2017-09-20",
        "last_updated": "2017-09-20",
        "status": "A",
        "authorized_official_last_name": "CROOKS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "480-407-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "42847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287745",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Pain & Spine Consultants, PLC-DME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; 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.