Pinnacle Integrative Therapy

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7094 Issued in AZ

Legal business name

PINNACLE INTEGRATIVE THERAPY

Practice address

9023 E Desert Cove Ave Ste 101
Scottsdale, AZ 85260-6779

Phone

(623) 308-0823

NPI assigned

Jun 6, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles L Clark Jr., DC

Title

Owner

Phone

(623) 308-0823

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1790214609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39816 N MESSNER WAY",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863669",
            "telephone_number": "623-308-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9023 E DESERT COVE AVE STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606779",
            "telephone_number": "623-308-0823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9023 E Desert Cove Ave",
            "address_2": "Ste 101",
            "address_purpose": "LOCATION",
            "city": "Anthem",
            "state": "AZ",
            "postal_code": "85086",
            "country_code": "US",
            "telephone_number": "623-308-0823",
            "fax_number": "623-308-0823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PINNACLE INTEGRATIVE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-308-0823",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Chiropractor in Arizona

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