Organization Active NPI

Wellness &Health Clinic Inc

  • Primary Care Clinic/Center
  • Dallas, TX
National Provider Identifier
1265142947
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
WELLNESS &HEALTH CLINIC INC
Practice address
3435 Highland Rd Ste 105
Dallas, TX 75228-7165
Phone
(469) 231-3711
Fax
(972) 686-3825
NPI assigned
Dec 2, 2022
Last updated
Dec 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Authorized official

Name
Gloria NwekeNPI 1326066358
Title
Family Nurse Practitioner
Phone
(469) 878-2511

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3435 Highland Rd Ste 105
Dallas, TX 75228-7165

Mailing address

3435 Highland Rd Ste 105
Dallas, TX 75228-7165

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CLINIC Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230427000473 TX Part B Supplier - Clinic/Group Practice 4486019429 Receives reassigned benefits from 2 practitioners
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

3435 Highland Rd
Ste 105
Dallas, TX 75228
Phone (214) 577-2381

3445 Highland Rd
Ste 105
Dallas, TX 75228

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": "1669939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669939200000",
    "number": "1265142947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 HIGHLAND RD STE 105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752287165",
            "fax_number": "972-686-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 HIGHLAND RD STE 105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752287165",
            "telephone_number": "469-231-3711",
            "fax_number": "972-686-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS &HEALTH CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-02",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A",
        "authorized_official_last_name": "NWEKE",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "469-878-2511"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CLINIC",
            "affiliation": "N",
            "endpointDescription": "PRIMARY CARE CLINIC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CLINIC",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3435 Highland Rd Ste 105",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752287165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.