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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- 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 CENTER
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | Primary | ||
| Family Medicine Physician | 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
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.
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1104315647
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.