Organization Active NPI

Whole Health Kinetix

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1124568068
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
WHOLE HEALTH KINETIX
Practice address
14800 Quorum Dr Ste 560
Dallas, TX 75254-7679
Phone
(469) 547-1700
NPI assigned
Feb 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Authorized official

Name
Ryan Samuel Stepinoff, PA
Title
BS, Mpas, PA-C
Phone
(713) 703-9852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X TX Primary

Addresses

Primary practice location

14800 Quorum Dr Ste 560
Dallas, TX 75254-7679

Mailing address

14800 Quorum Dr Ste 560
Dallas, TX 75254-7679
Phone (469) 547-1700

National Provider Directory

National Provider Directory

Locations

14800 Quorum Dr
Ste 560
Dallas, TX 75254
Phone (469) 547-1700

NPI Registry JSON

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

{
    "created_epoch": "1487980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1124568068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14800 QUORUM DR STE 560",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547679",
            "telephone_number": "469-547-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 QUORUM DR STE 560",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547679",
            "telephone_number": "469-547-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE HEALTH KINETIX",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-25",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "STEPINOFF",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "BS, MPAS, PA-C",
        "authorized_official_telephone_number": "713-703-9852",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 14, 2017; 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.