NPI Code Detail JSON Logo

1780201772 NPI number — PINNACLE PEAK RECOVERY, LLC

NPI Number: 1780201772
Health Care Provider/Practitioner: PINNACLE PEAK RECOVERY, LLC

Information about “1780201772” NPI (PINNACLE PEAK RECOVERY, LLC) exists in 1780201772 in HTML format HTML  |  1780201772 in plain Text format TXT  |  1780201772 in PDF (Portable Document Format) PDF  |  1780201772 in an XML format XML  formats.

NPI Number : 1780201772 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780201772",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "PINNACLE PEAK RECOVERY, LLC",
    "ParentOrgTIN": null,
    "OrgName": "PINNACLE PEAK RECOVERY, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8070 E MORGAN TRL STE 200",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SCOTTSDALE",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85258-1229",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "480-430-6744",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8070 E MORGAN TRL STE 125",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SCOTTSDALE",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85258-1228",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "480-430-6744",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/25/2020",
    "LastUpdateDate": "06/25/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "TISDALE",
    "AuthorizedOfficialFirstName": "TYLER",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "FOUNDER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "480-750-1200",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "324500000X",
        "TaxonomyName": "Substance Abuse Rehabilitation Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.