Organization Active NPI

Healthkwik Texas Inc

  • Primary Care Clinic/Center
  • Dallas, TX
National Provider Identifier
1124134176
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HEALTHKWIK TEXAS INC
Practice address
3434 W Illinois Ave
Dallas, TX 75211-8796
Phone
(214) 333-9600
Fax
(214) 333-9602
NPI assigned
Aug 22, 2006
Organization subpart
Yes
Parent organization
MEDBASICS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Jodi Krusely
Title
Account Manager
Phone
(847) 838-3832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3434 W Illinois Ave
Dallas, TX 75211-8796

Mailing address

PO Box 671621
Dallas, TX 75267-1621
Phone (972) 580-7700

Other names 1

  • MedBasics Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1124134176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 671621",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752671621",
            "telephone_number": "972-580-7700",
            "fax_number": "972-580-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 W ILLINOIS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752118796",
            "telephone_number": "214-333-9600",
            "fax_number": "214-333-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHKWIK TEXAS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDBASICS INC",
        "enumeration_date": "2006-08-22",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "KRUSELY",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "847-838-3832"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedBasics",
            "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 Jan 11, 2008; 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.