Organization Active NPI

Rockwall Pro Health Chiropractic

  • Chiropractor
  • Rockwall, TX
National Provider Identifier
1235379157
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11131 Issued in TX
Legal business name
ROCKWALL PRO HEALTH CHIROPRACTIC
Practice address
554 W Ralph Hall Pkwy
Rockwall, TX 75032-6644
Phone
(972) 771-3388
Fax
(972) 722-3398
NPI assigned
Mar 5, 2009
Last updated
Jul 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Authorized official

Name
Dr. Keeston Waters, D.C.NPI 1497995419
Title
President/Chiropractor
Phone
(972) 771-3388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 11131 TX Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 11026 TX

Addresses

Primary practice location

554 W Ralph Hall Pkwy
Rockwall, TX 75032-6644

Mailing address

554 W Ralph Hall Pkwy
Rockwall, TX 75032-6644
Phone (972) 771-3388

National Provider Directory

National Provider Directory

Locations

554 W Ralph Hall Pkwy
Rockwall, TX 75032
Phone (972) 771-3388

919 E I30
Ste 125
Rockwall, TX 75087
Phone (972) 771-7200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1235379157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 W RALPH HALL PKWY",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326644",
            "telephone_number": "972-771-3388",
            "fax_number": "972-722-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 W RALPH HALL PKWY",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326644",
            "telephone_number": "972-771-3388",
            "fax_number": "972-722-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKWALL PRO HEALTH CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "KEESTON",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "972-771-3388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11131",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11026",
            "primary": false
        }
    ],
    "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 Jul 30, 2015; 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.