Active NPI
Pinnacle Spine of Indiana Inc
- Interventional Pain Medicine Physician
- Zionsville, IN
National Provider Identifier
1568156545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- PINNACLE SPINE OF INDIANA INC
- Practice address
- 6300 Technology Center Dr
Zionsville, IN 46077 - Phone
- (630) 794-9999
- NPI assigned
- Jun 5, 2023
- 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
- Jessica Sirois
- Title
- Practice Administrator
- Phone
- (630) 794-9999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
6300 Technology Center Dr
Zionsville, IN 46077
Mailing address
6300 Technology Center Dr
Zionsville, IN 46077
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685923200000",
"number": "1568156545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 TECHNOLOGY CENTER DR",
"city": "ZIONSVILLE",
"state": "IN",
"postal_code": "46077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 TECHNOLOGY CENTER DR",
"city": "ZIONSVILLE",
"state": "IN",
"postal_code": "46077",
"telephone_number": "630-794-9999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINNACLE SPINE OF INDIANA INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-05",
"last_updated": "2023-06-05",
"certification_date": "2023-05-17",
"status": "A",
"authorized_official_last_name": "SIROIS",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "630-794-9999"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Zionsville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.