Jun Zhao

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

JUN ZHAO

Practice address

1701 W Northwest Hwy
Grapevine, TX 76051-8127

Phone

(682) 337-3138

NPI assigned

Feb 17, 2022

Organization subpart

No

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

Authorized official

Name

Jun Zhao, MS, RD, LD, CDENPI 1285070573

Title

Owner

Phone

(682) 337-3138

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jun Zhao, RD, LD, CDE

  • Registered Dietitian
  • North Richland Hills, TX
  • NPI 1285070573

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1194470187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8825 LAUREL LN",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762481426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W NORTHWEST HWY",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518127",
            "telephone_number": "682-337-3138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 E John Carpenter Fwy Ste 500",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750628138",
            "country_code": "US",
            "telephone_number": "682-337-3138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JUN ZHAO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "ZHAO",
        "authorized_official_first_name": "JUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-337-3138",
        "authorized_official_credential": "MS, RD, LD, CDE"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.