Individual provider Active NPI

Steve A Roche, MD

  • Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1003802174
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G6086 Issued in TX
Practice address
12850 Hillcrest Rd
Suite F-206
Dallas, TX 75230-1529
Phone
(972) 404-8253
Fax
(972) 701-0874
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G6086 TX Primary

Addresses

Primary practice location

12850 Hillcrest Rd
Suite F-206
Dallas, TX 75230-1529

Mailing address

12850 Hillcrest Rd
Suite F-206
Dallas, TX 75230-1529
Phone (972) 404-8253

Other identifiers 1

IdentifierTypeStateIssuer
099855101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080201000237 TX Practitioner - Psychiatry 3476635269 Practice locations: Richardson, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Family Dynamics Inc Past Accepting new patients
Selah Counseling & Wellness Centre Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285804800000",
    "number": "1003802174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12850 HILLCREST RD",
            "address_2": "SUITE F-206",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301529",
            "telephone_number": "972-404-8253",
            "fax_number": "972-701-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12850 HILLCREST RD",
            "address_2": "SUITE F-206",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301529",
            "telephone_number": "972-404-8253",
            "fax_number": "972-701-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHE",
        "first_name": "STEVE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2010-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "G6086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099855101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.