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PINNACLE DERMATOLOGY, S.C.
NPI 1720814429
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Wayzata, MN

Active since September 10, 2024
935 WAYZATA BLVD E STE 200, WAYZATA, MN 55391(763) 220-8030 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 26, 2024, Sep 11, 2024 (2 updates tracked since 2024).

About Pinnacle Dermatology, S.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PINNACLE DERMATOLOGY, S.C. (NPI 1720814429) is a healthcare organization registered as an otolaryngology/facial plastic surgery in Wayzata, Minnesota and active in the NPI registry since September 2024. The organization lists Jose Luis Rios, Vice President, as its authorized official.

NPPES Registry Identity

NPI1720814429
Entity TypeOrganization
Primary Taxonomy207YX0905X
Legal Business NamePINNACLE DERMATOLOGY, S.C.
Location Address935 WAYZATA BLVD E STE 200Wayzata, MN 55391-2513
Mailing AddressPo Box 734240Chicago, IL 60673-4240
Phone(763) 220-8030
Organization SubpartNo
Authorized OfficialJose Luis RiosVice President · (815) 744-8554
Enumeration DateSeptember 10, 2024
Last NPPES UpdateSeptember 26, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
✔ NPI 1720814429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X
935 WAYZATA BLVD E STE 200, Wayzata, MN 55391
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OMNI FACIAL PLASTIC SURGERY
Plastic Surgery
935 WAYZATA BLVD E STE 200
WAYZATA, MN 55391
Hennepin County (320) 559-4500
WAYZATA SURGERY CENTER
Clinic/Center (Ambulatory Surgical)
935 WAYZATA BLVD E STE 200
WAYZATA, MN 55391
Hennepin County (763) 559-4500
MITCHELL HAGEN MD
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
935 WAYZATA BLVD E STE 200
WAYZATA, MN 55391
Hennepin County (763) 220-8030
DR. JOHN A NESS MD
Surgery (Plastic and Reconstructive Surgery)
935 WAYZATA BLVD E STE 200
WAYZATA, MN 55391
Hennepin County (763) 559-4500
DR. BRYAN NICHOLAS ROLFES M.D.
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
935 WAYZATA BLVD E STE 200
WAYZATA, MN 55391
Hennepin County (763) 559-4500
OMNI MEDICAL CENTER PLLC
Plastic Surgery
935 WAYZATA BLVD E STE 200
WAYZATA, MN 55391
Hennepin County (763) 559-4500
MILES BICHANICH MD
Plastic Surgery
935 WAYZATA BLVD E STE 200
WAYZATA, MN 55391
Hennepin County (763) 237-5149
OMNI MEDICAL CENTER PLLC
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
935 WAYZATA BLVD E STE 200
WAYZATA, MN 55391
Hennepin County (763) 559-4500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pinnacle Dermatology, S.C.'s NPI number?

The NPI number for Pinnacle Dermatology, S.C. is 1720814429. It was assigned to this organization in the NPPES registry on September 10, 2024.

Where is Pinnacle Dermatology, S.C. located?

Pinnacle Dermatology, S.C. is located at 935 Wayzata Blvd E Ste 200, Wayzata, MN 55391. The listed phone number is (763) 220-8030.

What is Pinnacle Dermatology, S.C.'s specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

When was this NPI record last updated?

The NPPES record for Pinnacle Dermatology, S.C. was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.