Organization Active NPI

Pinnacle Pain Center PS

  • Interventional Pain Medicine Physician
  • Spokane Valley, WA
National Provider Identifier
1558815779
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
PINNACLE PAIN CENTER PS
Practice address
12709 E Mirabeau Pkwy
BLDG a Ste 200
Spokane Valley, WA 99216-1455
Phone
(509) 591-0070
Fax
(509) 396-9661
NPI assigned
Aug 4, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
PINNACLE PAIN CENTER PSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ian Evans
Title
Ceo
Phone
(509) 578-8846

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X NU
Interventional Pain Medicine Physician 208VP0014X NU Primary

Addresses

Primary practice location

12709 E Mirabeau Pkwy
BLDG a Ste 200
Spokane Valley, WA 99216-1455

Mailing address

8524 W Gage Blvd
BLDG a-1 Box 319
Kennewick, WA 99336-8241
Phone (509) 591-0070

Other names 1

  • Spokane Pain Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Pinnacle Pain Center PS2 organizations share this tax ID, including this one
Part of
Pinnacle Pain Center PS

Other organizations with this tax ID 1

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

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": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1558815779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8524 W GAGE BLVD",
            "address_2": "BLDG A-1 BOX 319",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368241",
            "telephone_number": "509-591-0070",
            "fax_number": "509-396-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12709 E MIRABEAU PKWY",
            "address_2": "BLDG A STE 200",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161455",
            "telephone_number": "509-591-0070",
            "fax_number": "509-396-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE PAIN CENTER PS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINNACLE PAIN CENTER PS",
        "enumeration_date": "2016-08-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-578-8846"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spokane Pain Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.