Active NPI
Pinnacle Pain Center PS
- Interventional Pain Medicine Physician
- Spokane Valley, WA
National Provider Identifier
1558815779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- 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, 2022
- Organization subpart
- Yes
- Parent organization
- PINNACLE PAIN CENTER PS
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Pinnacle Pain Center PS
- 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.
-
- Medical Physician Assistant
- Kennewick, WA
- NPI 1184171290
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.
-
dba Lynx Healthcare
- Pain Medicine (Anesthesiology) Physician
- Kennewick, WA
- NPI 1740434356
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.