NPIMap

Organization Active NPI

DFW Medical Massage PLLC

  • Massage Therapist
  • Rockwall, TX
National Provider Identifier
1154779155
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
DFW MEDICAL MASSAGE PLLC
Practice address
105 Saint Mary St
300
Rockwall, TX 75087-4017
Phone
(903) 456-5712
NPI assigned
May 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Authorized official

Name
Dwight Lee Tinney, LMP, MMP, MFR, MAT
Title
Sole Member
Phone
(903) 456-5712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

105 Saint Mary St
300
Rockwall, TX 75087-4017

Mailing address

105 Saint Mary St
300
Rockwall, TX 75087-4017
Phone (903) 456-5712

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1154779155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SAINT MARY ST",
            "address_2": "300",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874017",
            "telephone_number": "903-456-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SAINT MARY ST",
            "address_2": "300",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874017",
            "telephone_number": "903-456-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DFW MEDICAL MASSAGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "TINNEY",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "903-456-5712",
        "authorized_official_credential": "LMP, MMP, MFR, MAT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "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 May 31, 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.