Active NPI
Rediclinic US, LLC
Doing business as Rediclinic, LLC
- Clinic/Center
- Grapevine, TX
National Provider Identifier
1083881429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- REDICLINIC US, LLC
- Doing business as
- Rediclinic, LLC
- Practice address
- 1601 W State Highway 114
Grapevine, TX 76051-8651 - Phone
- (866) 607-7334
- NPI assigned
- May 14, 2008
- Last updated
- May 14, 2008
- Organization subpart
- Yes
- Parent organization
- REDICLINIC, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rick Vanpelt
- Title
- Coo
- Phone
- (713) 580-0462
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | Primary |
Addresses
Primary practice location
1601 W State Highway 114
Grapevine, TX 76051-8651
Mailing address
9 Greenway PLZ Ste 2950
Houston, TX 77046-0924
Phone (866) 607-7334
Other names 1
- Rediclinic, LLC
National Provider Directory
National Provider Directory- Tax ID family
- Rediclinic
- Part of
- Rediclinic
Other organizations with this tax ID 41
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210723200000",
"number": "1083881429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 GREENWAY PLZ STE 2950",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770460924",
"telephone_number": "866-607-7334",
"fax_number": "713-358-4801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 W STATE HIGHWAY 114",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760518651",
"telephone_number": "866-607-7334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REDICLINIC US, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "REDICLINIC, LLC",
"enumeration_date": "2008-05-14",
"last_updated": "2008-05-14",
"status": "A",
"authorized_official_last_name": "VANPELT",
"authorized_official_first_name": "RICK",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "713-580-0462"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rediclinic, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.