NPIMap

Organization Active NPI

Dr. Pinocchio Otd Inc., a Professional Corporation

Doing business as Dr. Pinocchio Pediatric Wellness Center

  • Multi-Specialty Clinic/Center
  • Reno, NV
National Provider Identifier
1528627494
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
DR. PINOCCHIO OTD INC., A PROFESSIONAL CORPORATION
Doing business as
Dr. Pinocchio Pediatric Wellness Center
Practice address
3685 Lakeside Dr
Reno, NV 89509-5280
Phone
(775) 360-3206
Fax
(775) 490-3001
NPI assigned
Jun 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Authorized official

Name
Mallory Pinocchio, OTDNPI 1679927727
Title
Owner
Phone
(775) 360-3206

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

3685 Lakeside Dr
Reno, NV 89509-5280

Mailing address

3685 Lakeside Dr
Reno, NV 89509-5280
Phone (775) 360-3206

Other identifiers 1

IdentifierTypeStateIssuer
1528627494MedicaidNV

Other names 1

  • Dr. Pinocchio Pediatric Wellness Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dr Pinocchio Otd Inc a Professional Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 7

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": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1528627494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3685 LAKESIDE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095280",
            "telephone_number": "775-360-3206",
            "fax_number": "775-490-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3685 LAKESIDE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095280",
            "telephone_number": "775-360-3206",
            "fax_number": "775-490-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PINOCCHIO OTD INC., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "PINOCCHIO",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-360-3206",
        "authorized_official_credential": "OTD"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528627494",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Pinocchio Pediatric Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.