Organization Active NPI

Independent Compliance Consultants LLC

  • Multi-Specialty Clinic/Center
  • Dallas, TX
National Provider Identifier
1104752831
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
INDEPENDENT COMPLIANCE CONSULTANTS LLC
Practice address
2808 Cole Ave
Dallas, TX 75204-1030
Phone
(855) 340-0838
NPI assigned
Jun 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Authorized official

Name
Alexander Peters
Title
Manager
Phone
(206) 963-8359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2808 Cole Ave
Dallas, TX 75204-1030

Mailing address

2808 Cole Ave
Dallas, TX 75204-1030

Other names 1

  • Cortivex Medical Doing business as

National Provider Directory

National Provider Directory

Locations

2808 Cole Ave
Dallas, TX 75204

NPI Registry JSON

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

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1104752831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 COLE AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752041030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 COLE AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752041030",
            "telephone_number": "855-340-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT COMPLIANCE CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-21",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "206-963-8359"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cortivex Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 22, 2026; 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.