Active NPI
Dallas Nutrition Therapy
- Registered Dietitian
- Irving, TX
National Provider Identifier
1235486184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- DALLAS NUTRITION THERAPY
- Practice address
- 3636 N Macarthur Blvd Ste 120
Irving, TX 75062-3691 - Phone
- (682) 239-7255
- NPI assigned
- Aug 9, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samira Amlani
- Title
- President
- Phone
- (682) 239-7255
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
3636 N Macarthur Blvd Ste 120
Irving, TX 75062-3691
Mailing address
3636 N Macarthur Blvd Ste 120
Irving, TX 75062-3691
Phone (469) 565-2539
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3636 N MacArthur Blvd
Ste 120
Irving, TX 75062
Phone (469) 565-2539
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736985600000",
"number": "1235486184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3636 N MACARTHUR BLVD STE 120",
"city": "IRVING",
"state": "TX",
"postal_code": "750623691",
"telephone_number": "469-565-2539",
"fax_number": "469-565-2540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3636 N MACARTHUR BLVD STE 120",
"city": "IRVING",
"state": "TX",
"postal_code": "750623691",
"telephone_number": "682-239-7255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DALLAS NUTRITION THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-09",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A",
"authorized_official_last_name": "AMLANI",
"authorized_official_first_name": "SAMIRA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "682-239-7255"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.