Rockwall Professionals LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ROCKWALL PROFESSIONALS LLC

Practice address

3140 Horizon Rd Ste 103
Rockwall, TX 75032-7819

Phone

(469) 651-1776

NPI assigned

Jan 24, 2022

Last updated

Jan 24, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mitchell Weiland

Title

Assistant Controller

Phone

(608) 343-0818

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1255083002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 EXCELSIOR DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171900",
            "telephone_number": "608-343-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 HORIZON RD STE 103",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327819",
            "telephone_number": "469-651-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKWALL PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "WEILAND",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "ASSISTANT CONTROLLER",
        "authorized_official_telephone_number": "608-343-0818"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rockwall Providence Care Inc (Executive Home Care of Northeast Dallas and Flower Mound Texas)
• Rockwall Regional Hospital, LLC (Texas Health Hospital Rockwall)
• Rockwall Surgery Center LLP
• Rockwall Urgent Care, PLLC
• Rockwall Vision PLLC (Family Vision Center)

• Dentist in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.