Organization Active NPI

Pinnacle Dialysis Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1639162829
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
PINNACLE DIALYSIS INC
Practice address
2900 N Military TRL
#195
Boca Raton, FL 33431-6365
Phone
(561) 241-6667
Fax
(561) 989-8550
NPI assigned
Aug 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Craig L Stemmer, MDNPI 1013900299
Title
Ceo
Phone
(561) 241-6667

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

2900 N Military TRL
#195
Boca Raton, FL 33431-6365

Mailing address

2900 N Military TRL
#195
Boca Raton, FL 33431-6365
Phone (561) 241-6667

Other identifiers 2

IdentifierTypeStateIssuer
890064700MedicaidFL
V4MOtherFLBCBS

Other names 1

  • Dialysis of Boca Delray Former legal business name

National Provider Directory

National Provider Directory

Locations

2900 N Military Trl
Ste 195
Boca Raton, FL 33431
Phone (561) 241-6667

Practitioners & affiliated clinicians

Practitioners 1

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": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1639162829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 N MILITARY TRL",
            "address_2": "#195",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316365",
            "telephone_number": "561-241-6667",
            "fax_number": "561-989-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N MILITARY TRL",
            "address_2": "#195",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316365",
            "telephone_number": "561-241-6667",
            "fax_number": "561-989-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE DIALYSIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "STEMMER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-241-6667",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890064700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "V4M",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dialysis of Boca Delray",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.