Organization Active NPI

Reza Assadollah, DCNP, PLLC

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1922578194
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
REZA ASSADOLLAH, DCNP, PLLC
Practice address
6380 LBJ Fwy # 290
Dallas, TX 75240-6416
Phone
(972) 991-1153
NPI assigned
Nov 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Michelle Marchese
Title
Manager
Phone
(214) 205-4995

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

6380 LBJ Fwy # 290
Dallas, TX 75240-6416

Mailing address

6380 LBJ Fwy # 290
Dallas, TX 75240-6416
Phone (972) 991-1153

Other identifiers 1

IdentifierTypeStateIssuer
782677OtherTXNP LICENSE

Other names 1

  • Gohemreza Assadollahi Other name

National Provider Directory

National Provider Directory

Locations

12870 Hillcrest Rd
Dallas, TX 75230
Phone (972) 458-3000

NPI Registry JSON

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1922578194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6380 LBJ FWY # 290",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406416",
            "telephone_number": "972-991-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6380 LBJ FWY # 290",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406416",
            "telephone_number": "972-991-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZA ASSADOLLAH, DCNP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "MARCHESE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-205-4995"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "782677",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gohemreza Assadollahi",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.