PINNACLE PEDIATRICS AND INTERNAL MEDICINE PROFESSIONAL LLC NPI 1871018085

NPI Information

  • NPI: 1871018085
  • Provider Name: PINNACLE PEDIATRICS AND INTERNAL MEDICINE PROFESSIONAL LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 06D2144180
  • Address: 13648 ORCHARD PKWY UNIT 900
    WESTMINSTER, CO
    ZIP 80023
  • Phone: (816) 590-9456

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NPI Details

PINNACLE PEDIATRICS AND INTERNAL MEDICINE PROFESSIONAL LLC is a primary care clinic center in Westminster, CO. PINNACLE PEDIATRICS AND INTERNAL MEDICINE PROFESSIONAL LLC NPI is 1871018085. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13648 ORCHARD PKWY UNIT 900
WESTMINSTER, CO
ZIP 80023-263
Phone: (816) 590-9456

The provider's authorized official is Walter Wilson .
The authorized official title is Owner and has the following contact phone number (720) 223-6177.

The CLIA number assigned to this NPI record is 06D2144180 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/8/2017 and was last updated on 11/27/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2208000000XPediatricsNo
3261QP2300XClinic/CenterPrimary Care53133COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
127727238MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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