Organization Active NPI

Personal Health Assessment

  • Clinical Cardiac Electrophysiology Physician
  • Dallas, TX
National Provider Identifier
1356846307
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
Legal business name
PERSONAL HEALTH ASSESSMENT
Practice address
18320 Michael Angelo Drive
Dallas, TX 75287
Phone
(866) 410-7422
NPI assigned
Mar 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Roy Brian Kuppenbender
Title
Founder
Phone
(866) 410-7422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0001X TX Primary

Addresses

Primary practice location

18320 Michael Angelo Drive
Dallas, TX 75287

Mailing address

18320 Michael Angelo
Dallas, TX 75287
Phone (866) 410-7422

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1356846307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18320 MICHAEL ANGELO",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75287",
            "telephone_number": "866-410-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18320 MICHAEL ANGELO DRIVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75287",
            "telephone_number": "866-410-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL HEALTH ASSESSMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KUPPENBENDER",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "866-410-7422"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TX",
            "license": null,
            "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 Jul 21, 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.