Organization Active NPI

Pinnacle Primary Care & Wellness Center

Doing business as Pinnacle Medical Center

  • Emergency Medical Services (Emergency Medicine) Physician
  • Las Vegas, NV
National Provider Identifier
1487152823
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
Legal business name
PINNACLE PRIMARY CARE & WELLNESS CENTER
Doing business as
Pinnacle Medical Center
Practice address
4440 S. Eastern Ave.
Las Vegas, NV 89119
Phone
(702) 476-0023
Fax
(702) 973-3477
NPI assigned
Jan 31, 2018
Organization subpart
Yes
Parent organization
PINNACLE MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Authorized official

Name
Ms. Teneshia Dachell Spencer
Title
Ceo/Owner
Phone
(702) 665-1690

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PE0004X Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X

Addresses

Primary practice location

4440 S. Eastern Ave.
Las Vegas, NV 89119

Mailing address

4440 S. Eastern Ave.
Las Vegas, NV 89119
Phone (702) 476-0023

Other names 1

  • Pinnacle Medical Center Doing business as

National Provider Directory

National Provider Directory
Part of
Pinnacle Primary Care Wellness Center

Locations

4440 S Eastern Ave
Las Vegas, NV 89119
Phone (702) 444-0599

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1487152823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 S. EASTERN AVE.",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89119",
            "telephone_number": "702-476-0023",
            "fax_number": "702-973-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 S. EASTERN AVE.",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89119",
            "telephone_number": "702-476-0023",
            "fax_number": "702-973-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE PRIMARY CARE & WELLNESS CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINNACLE MEDICAL CENTER",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "TENESHIA",
        "authorized_official_middle_name": "DACHELL",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "702-665-1690",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.