Organization Active NPI

Rockwall Health Center P.L.L.C

  • Health Maintenance Organization
  • Rockwall, TX
National Provider Identifier
1134589047
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
10270 Issued in TX
Legal business name
ROCKWALL HEALTH CENTER P.L.L.C
Practice address
2880 Ridge Rd
Rockwall, TX 75032-5515
Phone
(469) 769-1009
Fax
(469) 769-1008
NPI assigned
Mar 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Authorized official

Name
Dr. Shahram Jamalabadi, D.C.
Title
Owner
Phone
(469) 769-1009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 10270 TX Primary

Addresses

Primary practice location

2880 Ridge Rd
Rockwall, TX 75032-5515

Mailing address

2880 Ridge Rd
Rockwall, TX 75032-5515
Phone (469) 769-1009

National Provider Directory

National Provider Directory

Locations

2880 Ridge Rd
Rockwall, TX 75032
Phone (469) 769-1009

NPI Registry JSON

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1134589047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 RIDGE RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325515",
            "telephone_number": "469-769-1009",
            "fax_number": "469-769-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 RIDGE RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325515",
            "telephone_number": "469-769-1009",
            "fax_number": "469-769-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKWALL HEALTH CENTER P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "JAMALABADI",
        "authorized_official_first_name": "SHAHRAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-769-1009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TX",
            "license": "10270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.