Organization Active NPI

Better Life Clinic LLC

  • Family Medicine Physician
  • Wilmington, DE
National Provider Identifier
1245071778
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BETTER LIFE CLINIC LLC
Practice address
300 Delaware Ave Ste 210-598
Wilmington, DE 19801-1607
Phone
(302) 330-5950
Fax
(302) 702-0148
NPI assigned
Jun 6, 2024
Last updated
Jun 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Authorized official

Name
Mr. David G Janarious, MDNPI 1720349137
Title
Chief Medical Officer
Phone
(302) 330-5950

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Obesity Medicine (Family Medicine) Physician 207QB0002X NU

Addresses

Primary practice location

300 Delaware Ave Ste 210-598
Wilmington, DE 19801-1607

Mailing address

5840 Red Bug Lake Rd Unit 1711
Winter Springs, FL 32708-5011
Phone (302) 330-5950

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250218000196 FL Part B Supplier - Clinic/Group Practice 0345760674 Receives reassigned benefits from 2 practitioners
Practice locations: Saint Cloud, FL

National Provider Directory

National Provider Directory

Locations

3010 17th St
Saint Cloud, FL 34769
Phone (302) 330-5950

Practitioners & affiliated clinicians

Practitioners 2

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": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1245071778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5840 RED BUG LAKE RD UNIT 1711",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085011",
            "telephone_number": "302-330-5950",
            "fax_number": "302-702-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 DELAWARE AVE STE 210-598",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011607",
            "telephone_number": "302-330-5950",
            "fax_number": "302-702-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTER LIFE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "JANARIOUS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "302-330-5950",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.