Active NPI
Taylor Noel Roof, CP
- Prosthetist
- Dallas, TX
National Provider Identifier
1134845126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- 2124
- Practice address
- 6011 Harry Hines Blvd Ste 302
Dallas, TX 75235-5386 - Phone
- (214) 645-8250
- NPI assigned
- Oct 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | 2124 | TX | Primary |
Addresses
Primary practice location
6011 Harry Hines Blvd Ste 302
Dallas, TX 75235-5386
Mailing address
2800 Millington Dr
Highland Village, TX 75077-3207
Phone (972) 536-3831
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2124 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1134845126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 MILLINGTON DR",
"city": "HIGHLAND VILLAGE",
"state": "TX",
"postal_code": "750773207",
"telephone_number": "972-536-3831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6011 HARRY HINES BLVD STE 302",
"city": "DALLAS",
"state": "TX",
"postal_code": "752355386",
"telephone_number": "214-645-8250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROOF",
"first_name": "TAYLOR",
"middle_name": "NOEL",
"credential": "CP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-12",
"last_updated": "2022-10-12",
"certification_date": "2022-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "TX",
"license": "2124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.