Organization Active NPI

White Rock Adultmedicine Assoc.

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1932538147
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
806914 Issued in TX
Legal business name
WHITE ROCK ADULTMEDICINE ASSOC.
Practice address
10405 E. Northwest Hyw.
#100
Dallas, TX 75238-4610
Phone
(214) 321-6485
Fax
(214) 324-3187
NPI assigned
Nov 7, 2013
Last updated
Nov 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Authorized official

Name
Mrs. Kelley Suzanne Felix, MT, CMOM
Title
Office Manager
Phone
(214) 321-6485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 806914 TX Primary

Addresses

Primary practice location

10405 E. Northwest Hyw.
#100
Dallas, TX 75238-4610

Mailing address

10405 E. Northwest Hyw
#100
Dallas, TX 75238
Phone (214) 321-6485

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1932538147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10405 E. NORTHWEST HYW",
            "address_2": "#100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75238",
            "telephone_number": "214-321-6485",
            "fax_number": "214-324-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10405 E. NORTHWEST HYW.",
            "address_2": "#100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752384610",
            "telephone_number": "214-321-6485",
            "fax_number": "214-324-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE ROCK ADULTMEDICINE ASSOC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "FELIX",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "214-321-6485",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT,  CMOM"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "806914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 7, 2013; 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.