Organization Active NPI

Apex Primary Wellness PLLC

  • Family Medicine Physician
  • Coppell, TX
National Provider Identifier
1184450975
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
APEX PRIMARY WELLNESS PLLC
Practice address
149 E State Highway 121 Ste 105
Coppell, TX 75019-7985
Phone
(972) 833-7246
NPI assigned
Sep 10, 2024
Last updated
Sep 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Authorized official

Name
Asma KhanNPI 1922363175
Title
Authorized Official
Phone
(972) 833-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

149 E State Highway 121 Ste 105
Coppell, TX 75019-7985

Mailing address

149 E State Highway 121 Ste 105
Coppell, TX 75019-7985
Phone (972) 833-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240930002149 TX Part B Supplier - Clinic/Group Practice 8628509882 Receives reassigned benefits from 1 practitioner
Practice locations: Coppell, TX

National Provider Directory

National Provider Directory

Locations

149 E State Highway 121
Ste 105
Coppell, TX 75019
Phone (806) 441-8841

897 N MacArthur Blvd
Ste 120
Coppell, TX 75019
Phone (972) 833-7246

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1184450975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 E STATE HIGHWAY 121 STE 105",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750197985",
            "telephone_number": "972-833-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 E STATE HIGHWAY 121 STE 105",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750197985",
            "telephone_number": "972-833-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX PRIMARY WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ASMA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "972-833-7246"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.