Organization Active NPI

Rockwall Dermatology PLLC

Doing business as Rockwall Dermatology

  • Dermatology Physician
  • Rockwall, TX
National Provider Identifier
1568878247
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
P2921 Issued in TX
Legal business name
ROCKWALL DERMATOLOGY PLLC
Doing business as
Rockwall Dermatology
Practice address
2701 Sunset Ridge Dr
Suite 404
Rockwall, TX 75032-0005
Phone
(469) 377-1700
Fax
(469) 377-1709
NPI assigned
Jul 2, 2014
Last updated
Feb 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Authorized official

Name
Dr. Jessica Marie Saucier, M.D.NPI 1396935391
Title
Dermatologist
Phone
(469) 377-1700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X P2921 TX Primary

Addresses

Primary practice location

2701 Sunset Ridge Dr
Suite 404
Rockwall, TX 75032-0005

Mailing address

2701 Sunset Ridge Dr
Suite 404
Rockwall, TX 75032-0005
Phone (469) 377-1700

Other names 1

  • Rockwall Dermatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141202001071 TX Part B Supplier - Clinic/Group Practice 6800118894 Receives reassigned benefits from 1 practitioner
Practice locations: Rockwall, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2085797Rockwall Dermatology2701 Sunset Ridge Drive #404, Rockwall, TX 75032Provider-performed microscopyOct 21, 2026

National Provider Directory

National Provider Directory

Locations

2701 Sunset Ridge Dr
Ste 404
Rockwall, TX 75032
Phone (469) 377-1700

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": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1568878247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 SUNSET RIDGE DR",
            "address_2": "SUITE 404",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750320005",
            "telephone_number": "469-377-1700",
            "fax_number": "469-377-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 SUNSET RIDGE DR",
            "address_2": "SUITE 404",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750320005",
            "telephone_number": "469-377-1700",
            "fax_number": "469-377-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKWALL DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "SAUCIER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "469-377-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "P2921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockwall Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.