Rockwall Family Dentistry and Orthodontics PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24539 Issued in TX

Legal business name

ROCKWALL FAMILY DENTISTRY AND ORTHODONTICS PLLC

Practice address

3084 N Goliad St
#124
Rockwall, TX 75087-7163

Phone

(972) 772-4000

NPI assigned

Oct 14, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Melina Cozby, DDS

Title

Owner

Phone

(214) 500-7833

Specialties & licenses 1

Addresses

Other names 1

• Rockwall Family Dentistry Doing business as

Locations

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1629529672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3084 N GOLIAD ST",
            "address_2": "#124",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750877163",
            "telephone_number": "972-772-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3084 N GOLIAD ST",
            "address_2": "#124",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750877163",
            "telephone_number": "972-772-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKWALL FAMILY DENTISTRY AND ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "COZBY",
        "authorized_official_first_name": "MELINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-500-7833",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockwall Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rockwall Dental Associates PLLC
• Rockwall Dental Professionals
• Rockwall Dermatology PLLC
• Rockwall Diagnostic Imaging, LTD
• Rockwall Elite Healthcare PLLC
• Rockwall Family Dentistry P.a.
• Rockwall Family Medicine
• Rockwall Family Medicine Associates, PA
• Rockwall Family Smiles PLLC
• Rockwall First Assist, LLC

• General Practice Dentistry in Rockwall, TX
• Providers in Rockwall, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.