Active NPI
Pinnacle Healthcare Associates of Texas
- Clinic/Center
- Irving, TX
National Provider Identifier
1487329371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211214000432 | TX | Part B Supplier - Clinic/Group Practice | 5496145013 |
Receives reassigned benefits from 2 practitioners Practice locations: Irving, TX |
National Provider Directory
National Provider DirectoryLocations
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.