Organization Active NPI

Pinnacle Healthcare Associates of Texas

  • Clinic/Center
  • Irving, TX
National Provider Identifier
1487329371
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PINNACLE HEALTHCARE ASSOCIATES OF TEXAS
Practice address
2150 Market Place Blvd Ste 140
Irving, TX 75038
Phone
(469) 599-5888
NPI assigned
Aug 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Authorized official

Name
Mr. Deven Roy
Title
Managing Partner
Phone
(209) 756-4832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2150 Market Place Blvd Ste 140
Irving, TX 75038

Mailing address

PO Box 192554
Dallas, TX 75219-8522
Phone (209) 756-4832

Other practice location 1

3050 S Center St Ste 160
Arlington, TX 76014-2155
Phone (469) 599-5888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211214000432 TX Part B Supplier - Clinic/Group Practice 5496145013 Receives reassigned benefits from 2 practitioners
Practice locations: Irving, TX

National Provider Directory

National Provider Directory

Locations

2150 Market Place Blvd
Ste 140
Irving, TX 75063
Phone (469) 599-5888

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1487329371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 192554",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752198522",
            "telephone_number": "209-756-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 MARKET PLACE BLVD STE 140",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75038",
            "telephone_number": "469-599-5888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3050 S Center St Ste 160",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760142155",
            "country_code": "US",
            "telephone_number": "469-599-5888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PINNACLE HEALTHCARE ASSOCIATES OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "DEVEN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "209-756-4832",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.