Individual provider Active NPI

Ronald J Blaha, D.C., RMT, RN

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1659399749
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
645587 Issued in TX
Practice address
8150 Brookriver Dr Ste 110
Dallas, TX 75247-4068
Phone
(214) 219-3260
Fax
(214) 219-3329
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT024335 TX
Family Nurse Practitioner 363LF0000X 645587 TX Primary
Chiropractor 111N00000X 8792 TX

Addresses

Primary practice location

8150 Brookriver Dr Ste 110
Dallas, TX 75247-4068

Mailing address

8150 Brookriver Dr Ste 110
Dallas, TX 75247-4068
Phone (214) 219-3260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141218002088 TX Practitioner - Nurse Practitioner 7911220199 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
8792TXMDChiropractor
MT024335TXMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hephzibah Visiting Clinicians Family CurrentSince May 9, 2024 Accepting new patients

Locations

111 Executive Way
Ste 102
Desoto, TX 75115
Phone (469) 585-8129

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1659399749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 BROOKRIVER DR STE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474068",
            "telephone_number": "214-219-3260",
            "fax_number": "214-219-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 BROOKRIVER DR STE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474068",
            "telephone_number": "214-219-3260",
            "fax_number": "214-219-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAHA",
        "first_name": "RONALD",
        "middle_name": "J",
        "credential": "D.C., RMT, RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT024335",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "645587",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8792",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.