NPIMap

Organization Active NPI

Pinnacle Dermatology, SC

  • Non-Pharmacy Dispensing Site
  • Bourbonnais, IL
National Provider Identifier
1972274777
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
PINNACLE DERMATOLOGY, SC
Practice address
595 William Latham Dr
Bourbonnais, IL 60914-2319
Phone
(815) 936-9002
NPI assigned
Sep 22, 2021
Organization subpart
Yes
Parent organization
PINNACLE DERMATOLOGY, SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Authorized official

Name
Paula Kaye Lapinski
Title
Owner
Phone
(815) 744-8554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

595 William Latham Dr
Bourbonnais, IL 60914-2319

Mailing address

5141 Virginia Way Ste 350
Brentwood, TN 37027-2319

Other names 1

  • Pinnacle Dermatology, Bourbonnais Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2058078Pinnacle Dermatology595 William Latham Senior Dr, Bourbonnais, IL 60914ComplianceJul 23, 2027

National Provider Directory

National Provider Directory
Tax ID family
Pinnacle Dermatolgy SC32 organizations share this tax ID, including this one
Part of
Pinnacle Dermatolgy SC

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1972274777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5141 VIRGINIA WAY STE 350",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 WILLIAM LATHAM DR",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142319",
            "telephone_number": "815-936-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE DERMATOLOGY, SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINNACLE DERMATOLOGY, SC",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "LAPINSKI",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-744-8554"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Dermatology, Bourbonnais",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bourbonnais, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.