NPIMap

Organization Active NPI

JS Healthcare Dba

Doing business as Rodem Tree Dental

  • Dental Clinic/Center
  • Rowlett, TX
National Provider Identifier
1063779726
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
22514 Issued in TX
Legal business name
JS HEALTHCARE DBA
Doing business as
Rodem Tree Dental
Practice address
3705 Lakeview Pkwy
Ste. 101
Rowlett, TX 75088-4177
Phone
(972) 475-2321
Fax
(866) 496-2670
NPI assigned
Apr 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Authorized official

Name
Dr. Ellen M Nam, DDSNPI 1831313311
Title
Dentist
Phone
(972) 475-2321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 22514 TX Primary

Addresses

Primary practice location

3705 Lakeview Pkwy
Ste. 101
Rowlett, TX 75088-4177

Mailing address

3705 Lakeview Pkwy
Ste. 101
Rowlett, TX 75088-4177
Phone (972) 475-2321

Other names 1

  • RODEM TREE DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

3705 Lakeview Pkwy
Ste 101
Rowlett, TX 75088
Phone (972) 475-2321

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1063779726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 LAKEVIEW PKWY",
            "address_2": "STE. 101",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884177",
            "telephone_number": "972-475-2321",
            "fax_number": "866-496-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 LAKEVIEW PKWY",
            "address_2": "STE. 101",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884177",
            "telephone_number": "972-475-2321",
            "fax_number": "866-496-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JS HEALTHCARE DBA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "NAM",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "972-475-2321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "22514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RODEM TREE DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rowlett, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.