Organization Active NPI

Peculiar Wellness Center LLC

  • Psychiatric/Mental Health Registered Nurse
  • Grand Prairie, TX
National Provider Identifier
1306542865
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
Legal business name
PECULIAR WELLNESS CENTER LLC
Practice address
1030 S Carrier Pkwy Ste 100
Grand Prairie, TX 75051-1527
Phone
(469) 373-2260
NPI assigned
Feb 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Authorized official

Name
Anthonia DuruNPI 1669096905
Title
Administrator
Phone
(469) 373-2260

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
Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0808X Primary
Women's Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LW0102X

Addresses

Primary practice location

1030 S Carrier Pkwy Ste 100
Grand Prairie, TX 75051-1527

Mailing address

1030 S Carrier Pkwy Ste 100
Grand Prairie, TX 75051-1527
Phone (469) 373-2260

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231129000341 TX Part B Supplier - Clinic/Group Practice 2264880459 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Prairie, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2281527Peculiar Care Wellness Center, LLC1030 S Carrier Pkwy Suite 100, Grand Prairie, TX 75051Certificate of waiverMay 8, 2027

National Provider Directory

National Provider Directory

Locations

123 Executive Way
#209
Desoto, TX 75115
Phone (214) 217-0131

Practitioners & affiliated clinicians

Practitioners 1

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": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1306542865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 S CARRIER PKWY STE 100",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511527",
            "telephone_number": "469-373-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S CARRIER PKWY STE 100",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511527",
            "telephone_number": "469-373-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PECULIAR WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "DURU",
        "authorized_official_first_name": "ANTHONIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "469-373-2260"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.