Dallas Doctors, PA

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

L8125 Issued in TX

Legal business name

DALLAS DOCTORS, PA

Doing business as

La Plaza Rehab

Practice address

2351 W Northwest Hwy
Suite 3100
Dallas, TX 75220-4433

Phone

(214) 352-3000

Fax

(214) 358-2418

NPI assigned

Jun 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeff Javier Rodriguez, D.C.

Title

Owner/President

Phone

(214) 352-3000

Specialties & licenses 3

Addresses

Other names 1

• LA PLAZA REHAB Doing business as

Locations

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.

• Semyon Narosov, MSPT

  • Physical Therapist
  • Dallas, TX
  • NPI 1952418972
  NPD (past)
• Gregory L Wattron, O.T.R.

  • Occupational Therapist
  • Dallas, TX
  • NPI 1568680650
  NPD (past)

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1558567784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781667",
            "address_2": "SUITE 3105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753781667",
            "telephone_number": "214-352-3000",
            "fax_number": "214-358-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 W NORTHWEST HWY",
            "address_2": "SUITE 3100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752204433",
            "telephone_number": "214-352-3000",
            "fax_number": "214-358-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS DOCTORS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "214-352-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Occupational Health",
            "state": "TX",
            "license": "5590",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "L8125",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1055530",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LA PLAZA REHAB",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LA PLAZA REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sports Medicine (Family Medicine) Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Sports Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.