NPIMap

Organization Active NPI

Rolly Pollies LLC

  • Clinic/Center
  • Austin, TX
National Provider Identifier
1679867667
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
563100000 Issued in TX
Legal business name
ROLLY POLLIES LLC
Practice address
12700 Shops Pkwy
Suite 450
Austin, TX 78738-6597
Phone
(410) 507-9554
Fax
(512) 259-9595
NPI assigned
Jun 7, 2011
Last updated
Jun 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
John Mann
Title
Owner
Phone
(410) 507-9554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 563100000 TX Primary

Addresses

Primary practice location

12700 Shops Pkwy
Suite 450
Austin, TX 78738-6597

Mailing address

12700 Shops Pkwy
Suite 450
Austin, TX 78738-6597
Phone (410) 507-9554

National Provider Directory

National Provider Directory

Locations

12700 Shops Pkwy
Ste 450
Austin, TX 78738
Phone (512) 263-3777

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1679867667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 SHOPS PKWY",
            "address_2": "SUITE 450",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787386597",
            "telephone_number": "410-507-9554",
            "fax_number": "512-259-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 SHOPS PKWY",
            "address_2": "SUITE 450",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787386597",
            "telephone_number": "410-507-9554",
            "fax_number": "512-259-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLY POLLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-507-9554"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "563100000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.