Elevani Health Group, PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ELEVANI HEALTH GROUP, PLLC

Practice address

520 E Northwest Hwy
Ste. 102
Grapevine, TX 76051-6297

Phone

(817) 328-1922

Fax

(817) 332-8193

NPI assigned

Apr 11, 2016

Organization subpart

No

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

Authorized official

Name

David Payesteh, MD

Title

Sole MBR

Phone

(817) 328-1922

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1174987663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E NORTHWEST HWY",
            "address_2": "STE. 102",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760516297",
            "telephone_number": "817-328-1922",
            "fax_number": "817-332-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E NORTHWEST HWY",
            "address_2": "STE. 102",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760516297",
            "telephone_number": "817-328-1922",
            "fax_number": "817-332-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVANI HEALTH GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "PAYESTEH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "817-328-1922",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.