Rockwall Complete Healing and Wellness – Primary Care Clinic/Center, NPI 1912515404

Rockwall Complete Healing and Wellness is a healthcare provider. based in Rockwall, Texas. specializing in Primary Care Clinic/Center. The NPI Number for Rockwall Complete Healing and Wellness is 1912515404

Main info

Organization
Name
Rockwall Complete Healing and Wellness
NPI
1912515404
Phone
(972) 771-8900
Address
2455 RIDGE RD STE 151
Authorized Official
DOMINIQUE M ROBINSON OWNER
Enumeration Date
21 July 2020
Last Update Date
5 March 2021

Contacts

Secure Messaging
rockwallcolonics@att.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness90
Years active:5State licenses:0Updated within 12 months

Provider Addresses for Rockwall Complete Healing and Wellness

  • 2455 RIDGE RD STE 151

    ROCKWALL, TX 750875538

    Phone: (972) 771-8900

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-03-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2026-03-31 (75 days ago).

Enrollment records

1

Earliest due date

2026-03-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20210309000754OClinic/Group PracticeTX2026-03-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75087)

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Reviews

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Frequently asked questions

Can I cross-check Rockwall Complete Healing and Wellness using NPI 1912515404?
NPI 1912515404 belongs to Rockwall Complete Healing and Wellness; compare other details if you need extra assurance.
Is there an active status for Rockwall Complete Healing and Wellness?
For scheduling context, Rockwall Complete Healing and Wellness is shown as active in the registry.
What expertise is attributed to Rockwall Complete Healing and Wellness?
Rockwall Complete Healing and Wellness's specialty line reads Primary Care Clinic/Center. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Rockwall Complete Healing and Wellness?
Travel planning: use Rockwall, Texas as the reference point for Rockwall Complete Healing and Wellness, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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