Active NPI
Vital Wellness & Weight Loss P.a.
- Obesity Medicine (Family Medicine) Physician
- Dallas, TX
National Provider Identifier
1295155273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity Medicine (Family Medicine) Physician
- License
- H6104
- Legal business name
- VITAL WELLNESS & WEIGHT LOSS P.A.
- Practice address
- 18800 Preston Rd
Suite 310
Dallas, TX 75252-2449 - Phone
- (972) 985-5511
- NPI assigned
- Apr 17, 2014
- 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
- Michele W Cavenee, M.D.
- Title
- Co-Owner
- Phone
- (214) 769-2398
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 |
|---|---|---|---|---|
| Obesity Medicine (Family Medicine) Physician | 207QB0002X | H6104 | TX | Primary |
Addresses
Primary practice location
18800 Preston Rd
Suite 310
Dallas, TX 75252-2449
Mailing address
5128 Corinthian Bay Dr
Plano, TX 75093-4001
National Provider Directory
National Provider DirectoryLocations
18800 Preston Rd
Ste 310
Dallas, TX 75252
Phone (214) 619-5225
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obesity Medicine (Obstetrics & Gynecology) Physician
- Plano, TX
- NPI 1184869794
-
- Surgery Physician
- Dallas, TX
- NPI 1972502896
-
- Medical Physician Assistant
- Carrollton, TX
- NPI 1316299589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1397692800000",
"number": "1295155273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5128 CORINTHIAN BAY DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750934001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18800 PRESTON RD",
"address_2": "SUITE 310",
"city": "DALLAS",
"state": "TX",
"postal_code": "752522449",
"telephone_number": "972-985-5511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITAL WELLNESS & WEIGHT LOSS P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-17",
"last_updated": "2014-04-17",
"status": "A",
"authorized_official_last_name": "CAVENEE",
"authorized_official_first_name": "MICHELE",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "214-769-2398",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207QB0002X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Obesity Medicine",
"state": "TX",
"license": "H6104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Apr 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.