Organization Active NPI

Pinnacle Integrative Healthcare, PLLC

  • Chiropractor
  • Clinton, IA
National Provider Identifier
1699244871
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PINNACLE INTEGRATIVE HEALTHCARE, PLLC
Doing business as
Pinnacle Integrative Healthcare
Practice address
2418 S 18TH St
Clinton, IA 52732-6827
Phone
(563) 289-7171
Fax
(563) 217-1529
NPI assigned
Nov 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Authorized official

Name
Dr. Reese Raymond Petersen, DC
Title
Owner/Operator
Phone
(563) 289-7171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2418 S 18TH St
Clinton, IA 52732-6827

Mailing address

2418 S 18TH St
Clinton, IA 52732-6827
Phone (563) 503-1466

Other names 1

  • Pinnacle Integrative Healthcare Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1699244871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 S 18TH ST",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527326827",
            "telephone_number": "563-503-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 S 18TH ST",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527326827",
            "telephone_number": "563-289-7171",
            "fax_number": "563-217-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE INTEGRATIVE HEALTHCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-17",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "REESE",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "563-289-7171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Integrative Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pinnacle Integrative Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.