Organization Active NPI

Dallas Nutrition Therapy

  • Registered Dietitian
  • Irving, TX
National Provider Identifier
1235486184
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Samira AmlaniNPI 1043567241
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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20120918000324 TX Part B Supplier - Clinic/Group Practice 4486802311 Receives reassigned benefits from 2 practitioners
Practice locations: Irving, TX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.