Organization Active NPI

Re-Gen Concierge of Texas PLLC

  • Primary Care Clinic/Center
  • Dallas, TX
National Provider Identifier
1952107278
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
RE-GEN CONCIERGE OF TEXAS PLLC
Practice address
5944 Luther LN Ste 915
Dallas, TX 75225-5977
Phone
(803) 665-4539
NPI assigned
Feb 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Dr. Jordan Pastorek, MD
Title
Medical Director
Phone
(803) 665-4539

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

5944 Luther LN Ste 915
Dallas, TX 75225-5977

Mailing address

5944 Luther LN Ste 915
Dallas, TX 75225-5977
Phone (803) 665-4539

National Provider Directory

National Provider Directory

Locations

5944 Luther Ln
Ste 915
Dallas, TX 75225
Phone (214) 500-4540

Practitioners & affiliated clinicians

Practitioners 2

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": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1952107278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5944 LUTHER LN STE 915",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255977",
            "telephone_number": "803-665-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5944 LUTHER LN STE 915",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255977",
            "telephone_number": "803-665-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RE-GEN CONCIERGE OF TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "PASTOREK",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "803-665-4539",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "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 Feb 19, 2025; 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.