Wellness Vida Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12677 Issued in TX

Legal business name

WELLNESS VIDA CENTER LLC

Practice address

12800 Preston Rd Ste 102
Dallas, TX 75230-1366

Phone

(469) 677-0029

Fax

(214) 792-9697

NPI assigned

Jul 9, 2014

Organization subpart

No

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

Authorized official

Name

Evelia Aragon, DCNPI 1073929279

Title

Owner

Phone

(214) 783-3231

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Evelia Aragon, DC

  • Chiropractor
  • Dallas, TX
  • NPI 1073929279
  Medicare reassignment Care Compare group NPD Authorized official
• Iohann F Gonzalez, D.C.

  • Chiropractor
  • Dallas, TX
  • NPI 1104858562
  Medicare reassignment Care Compare group NPD
• Robert Jacob Gonzales, DC

  • Chiropractor
  • Plano, TX
  • NPI 1023991593
  NPD
• Lisa Marie Bonilla

  • Chiropractor
  • Terrell, TX
  • NPI 1578487260
  NPD (past)
• Erwin A Cruz, MD

  • Specialist
  • Dallas, TX
  • NPI 1952308231
  NPD (past)

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1154737385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 PRESTON RD STE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 PRESTON RD STE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301366",
            "telephone_number": "469-677-0029",
            "fax_number": "214-792-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS VIDA CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "ARAGON",
        "authorized_official_first_name": "EVELIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-783-3231",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellness Equip Pro LLC
• Wellness Group
• Wellness Health Resources Group, LLC
• Wellness Innovations Physician Partners
• Wellness Resources
• Wellnest Counseling, PLLC
• Wellrx Pharmacy Inc
• Alexandria Wells, RD,LD
• Ashley Wells, CRNA
• Barbi E. Wells, MD

• Chiropractor in Dallas, TX
• Providers in Dallas, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.