ROCKWALL COMPLETE HEALING AND WELLNESS
NPI 1912515404
Clinic/Center - Primary Care in Rockwall, TX

Active since July 21, 2020CLIA 45D2239396 · Waiver
2455 RIDGE RD STE 151, ROCKWALL, TX 75087(972) 771-8900 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 5, 2021, Jul 21, 2020 (2 updates tracked since 2020).

About Rockwall Complete Healing And Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROCKWALL COMPLETE HEALING AND WELLNESS (NPI 1912515404) is a healthcare organization registered as a primary care in Rockwall, Texas and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through October 11, 2027 and lists Dominique M Robinson, Owner, as its authorized official.

NPPES Registry Identity

NPI1912515404
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameROCKWALL COLONICS & WELLNESS CENTER LLC
Location Address2455 RIDGE RD STE 151Rockwall, TX 75087-5538
Mailing Address2455 Ridge Rd Ste 151Rockwall, TX 75087-5538 · (972) 771-8900
Organization SubpartNo
Authorized OfficialDominique M RobinsonOwner · (972) 771-8900
Enumeration DateJuly 21, 2020
Last NPPES UpdateMarch 5, 20212 updates tracked since enumeration
NPPES CertifiedMarch 5, 2021
NPI 1912515404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2455 RIDGE RD STE 151, Rockwall, TX 75087

Other Names 1

Doing Business AsRockwall Complete Healing And Wellness

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2239396

Rockwall Colonics & Wellness Center · Rockwall, TX
Active · expires Oct 11, 2027
CLIA Number45D2239396
Laboratory TypePractitioner Other
Certificate Effective DateOctober 12, 2025
Certificate Expiration DateOctober 11, 2027
Laboratory DirectorDana Logwood
Laboratory Phone(972) 771-8900
Laboratory LocationRockwall Colonics & Wellness Center2455 Ridge Rd Suite 151, Rockwall, TX 75087
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rockwall Colonics & Wellness Center LLC's NPI number?

The NPI number for Rockwall Colonics & Wellness Center LLC is 1912515404. It was assigned to this organization in the NPPES registry on July 21, 2020. The provider is doing business as Rockwall Complete Healing And Wellness.

Where is Rockwall Colonics & Wellness Center LLC located?

Rockwall Colonics & Wellness Center LLC is located at 2455 Ridge Rd Ste 151, Rockwall, TX 75087. The listed phone number is (972) 771-8900.

What is Rockwall Colonics & Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Rockwall Colonics & Wellness Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2239396) is associated with this NPI, valid through October 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rockwall Colonics & Wellness Center LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Rockwall Colonics & Wellness Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rockwall Colonics & Wellness Center LLC was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.