Active NPI
Richard N Rudnicki D.O.,P.a.
- Dermatology Physician
- Mesquite, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- J2769
- Legal business name
- RICHARD N RUDNICKI D.O.,P.A.
- Practice address
- 2856 N Galloway Ave
Mesquite, TX 75150-4861 - Phone
- (972) 289-2233
- NPI assigned
- Jan 23, 2008
- Last updated
- Jan 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard N Rudnicki, D.O.
- Title
- Ceo
- Phone
- (972) 289-2233
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | J2769 | TX | Primary |
Addresses
Primary practice location
2856 N Galloway Ave
Mesquite, TX 75150-4861
Mailing address
2856 N Galloway Ave
Mesquite, TX 75150-4861
Phone (972) 289-2233
National Provider Directory
National Provider DirectoryLocations
2504 Ridge Rd
Ste 206
Rockwall, TX 75087
Phone (469) 626-1577
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.
-
- Dermatology Physician
- Mesquite, TX
- NPI 1407919160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201046400000",
"number": "1649457409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2856 N GALLOWAY AVE",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751504861",
"telephone_number": "972-289-2233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2856 N GALLOWAY AVE",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751504861",
"telephone_number": "972-289-2233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD N RUDNICKI D.O.,P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-23",
"last_updated": "2008-01-23",
"status": "A",
"authorized_official_last_name": "RUDNICKI",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "972-289-2233",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "TX",
"license": "J2769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.