NPIMap

Organization Active NPI

Pinnacle Outreach, Inc.

  • Chiropractor
  • Clinton, IA
National Provider Identifier
1780171959
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
074678 Issued in IA
Legal business name
PINNACLE OUTREACH, INC.
Practice address
2344 Camanche Ave
Clinton, IA 52732-6034
Phone
(563) 259-6175
Fax
(563) 219-8897
NPI assigned
Apr 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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

Authorized official

Name
Dr. Reese Raymond Petersen, DCNPI 1942619713
Title
Chairman/Ceo/Secretary
Phone
(563) 259-6175

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 074678 IA Primary

Addresses

Primary practice location

2344 Camanche Ave
Clinton, IA 52732-6034

Mailing address

2344 Camanche Ave
Clinton, IA 52732-6034
Phone (563) 259-6175

Other names 1

  • Pinnacle Sport & Spine Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1523577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523577600000",
    "number": "1780171959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2344 CAMANCHE AVE",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527326034",
            "telephone_number": "563-259-6175",
            "fax_number": "563-219-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2344 CAMANCHE AVE",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527326034",
            "telephone_number": "563-259-6175",
            "fax_number": "563-219-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE OUTREACH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-13",
        "last_updated": "2018-04-13",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "REESE",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "CHAIRMAN/CEO/SECRETARY",
        "authorized_official_telephone_number": "563-259-6175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "074678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Sport & Spine Clinic",
            "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 Apr 13, 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.