Organization Active NPI

Joint Rejuvenation Center, PLLC

  • Plastic and Reconstructive Surgery Physician
  • Houston, TX
National Provider Identifier
1982111399
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
J4553 Issued in TX
Legal business name
JOINT REJUVENATION CENTER, PLLC
Practice address
2724 Yale St
Houston, TX 77008-2120
Phone
(713) 706-6143
Fax
(832) 409-3169
NPI assigned
Jan 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Authorized official

Name
Joshua Erickson
Title
Operations
Phone
(832) 212-7547

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0122X J4553 TX Primary

Addresses

Primary practice location

2724 Yale St
Houston, TX 77008-2120

Mailing address

2724 Yale St
Houston, TX 77008-2120
Phone (713) 706-6143

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515369600000",
    "number": "1982111399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2724 YALE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770082120",
            "telephone_number": "713-706-6143",
            "fax_number": "832-409-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2724 YALE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770082120",
            "telephone_number": "713-706-6143",
            "fax_number": "832-409-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOINT REJUVENATION CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "832-212-7547"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "J4553",
            "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 Jan 8, 2018; 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.