NPIMap

Organization Active NPI

Lifesculpt, LLC

Doing business as LifeSculpt

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Katy, TX
National Provider Identifier
1235847054
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
Legal business name
LIFESCULPT, LLC
Doing business as
LifeSculpt
Practice address
5214 Radiant LN
Katy, TX 77493-3174
Phone
(615) 753-7966
Fax
(615) 915-3436
NPI assigned
Nov 10, 2022
Last updated
Nov 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Authorized official

Name
Dr. Roger Starner Jones Jr., MDNPI 1972765873
Title
Founder
Phone
(615) 753-7966

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X NU Primary

Addresses

Primary practice location

5214 Radiant LN
Katy, TX 77493-3174

Mailing address

5214 Radiant LN
Katy, TX 77493-3174
Phone (615) 753-7966

Other names 1

  • LifeSculpt Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bmartin@lifesculpt.net Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1235847054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5214 RADIANT LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774933174",
            "telephone_number": "615-753-7966",
            "fax_number": "615-915-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5214 RADIANT LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774933174",
            "telephone_number": "615-753-7966",
            "fax_number": "615-915-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESCULPT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "STARNER",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "615-753-7966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmartin@lifesculpt.net",
            "affiliation": "N",
            "endpointDescription": "direct messaging address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5214 Radiant Ln",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774933174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "LifeSculpt",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.

Verify at the official NPI Registry.