Organization Active NPI

Craig S Rock MD PA

  • Plastic Surgery Physician
  • Houston, TX
National Provider Identifier
1679978266
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
J4995 Issued in TX
Legal business name
CRAIG S ROCK MD PA
Practice address
6624 Fannin St Ste 2590
Houston, TX 77030-2337
Phone
(713) 799-8330
Fax
(713) 583-0953
NPI assigned
Oct 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Authorized official

Name
Craig Rock, M.D.NPI 1114087285
Title
President
Phone
(713) 799-8330

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
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X J4995 TX Primary

Addresses

Primary practice location

6624 Fannin St Ste 2590
Houston, TX 77030-2337

Mailing address

6624 Fannin St Ste 2590
Houston, TX 77030-2337
Phone (713) 799-8330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150924001570 TX Part B Supplier - Clinic/Group Practice 5193033116 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

6624 Fannin St
Ste 2590
Houston, TX 77030
Phone (713) 797-1000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1414281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1679978266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6624 FANNIN ST STE 2590",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302337",
            "telephone_number": "713-799-8330",
            "fax_number": "713-583-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6624 FANNIN ST STE 2590",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302337",
            "telephone_number": "713-799-8330",
            "fax_number": "713-583-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG S ROCK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-26",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "ROCK",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-799-8330",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "J4995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.