Individual provider Active NPI

Reinaldo Luis Rodriguez Gonzalez, DC

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1013530583
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14426 Issued in TX
Practice address
1111 W Mockingbird LN Ste 1000
Dallas, TX 75247-5010
Phone
(214) 920-9111
NPI assigned
May 19, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14426 TX Primary

Addresses

Primary practice location

1111 W Mockingbird LN Ste 1000
Dallas, TX 75247-5010

Mailing address

1560 E Debbie LN Ste 104
Mansfield, TX 76063-8575
Phone (817) 453-8190

Other practice location 1

1011 S Main St Apt 3502
Carrollton, TX 75006-6445
Phone (940) 442-1442

Other practice location 2

1560 E Debbie Ln Ste 104
Mansfield, TX 76063-8575
Phone (817) 453-8190

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clinic28040@thejoint.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14426TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Q Factor Chiropractic LLC Chiropractor PastSince Jul 5, 2020 Accepting new patients

Organizations & group practices 1

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": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1013530583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 E DEBBIE LN STE 104",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638575",
            "telephone_number": "817-453-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W MOCKINGBIRD LN STE 1000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752475010",
            "telephone_number": "214-920-9111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 S Main St Apt 3502",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750066445",
            "country_code": "US",
            "telephone_number": "940-442-1442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1560 E Debbie Ln Ste 104",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760638575",
            "country_code": "US",
            "telephone_number": "817-453-8190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ GONZALEZ",
        "first_name": "REINALDO",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clinic28040@thejoint.com",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1560 E Debbie Ln Ste 104",
            "city": "Mansfield",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760638575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.