Organization Active NPI

New Dawn Wellness and Medical Center

  • Addiction Medicine (Preventive Medicine) Physician
  • Houston, TX
National Provider Identifier
1023770153
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
Legal business name
NEW DAWN WELLNESS AND MEDICAL CENTER
Practice address
12000 Richmond Ave Ste 215
Houston, TX 77082-2428
Phone
(917) 449-8724
Fax
(917) 900-1547
NPI assigned
Oct 6, 2021
Last updated
Jul 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Dr. Adanna Cynthia Ukazu, MDNPI 1154612760
Title
Medical Director
Phone
(917) 449-8724

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X
Addiction Medicine (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083A0300X Primary

Addresses

Primary practice location

12000 Richmond Ave Ste 215
Houston, TX 77082-2428

Mailing address

2238 Almond Creek LN
Brookshire, TX 77423-2983
Phone (917) 449-8724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220610001758 TX Part B Supplier - Clinic/Group Practice 8820476328 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2292308New Dawn Wellness and Medical Center12000 Richmond Ave Ste 221, Houston, TX 77082Certificate of waiverOct 23, 2027

National Provider Directory

National Provider Directory

Locations

12000 Richmond Ave
Ste 221
Houston, TX 77082
Phone (281) 809-5467

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": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1023770153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2238 ALMOND CREEK LN",
            "city": "BROOKSHIRE",
            "state": "TX",
            "postal_code": "774232983",
            "telephone_number": "917-449-8724",
            "fax_number": "917-900-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 RICHMOND AVE STE 215",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822428",
            "telephone_number": "917-449-8724",
            "fax_number": "917-900-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DAWN WELLNESS AND MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "UKAZU",
        "authorized_official_first_name": "ADANNA",
        "authorized_official_middle_name": "CYNTHIA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "917-449-8724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "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 Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.