Organization Active NPI

Wellness Group

  • Occupational Health Chiropractor
  • Dallas, TX
National Provider Identifier
1336317148
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health ChiropractorTaxonomy code 111NX0100X
License
5094 Issued in TX
Legal business name
WELLNESS GROUP
Practice address
18110 Midway Rd
146
Dallas, TX 75287-6677
Phone
(469) 737-1222
NPI assigned
Feb 14, 2008
Last updated
Feb 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Randal Floyd
Title
Director
Phone
(469) 737-1222

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 141477 TX
Occupational Health Chiropractor 111NX0100X 5094 TX Primary

Addresses

Primary practice location

18110 Midway Rd
146
Dallas, TX 75287-6677

Mailing address

18352 Midway Rd
146
Dallas, TX 75287-6632
Phone (469) 737-1222

National Provider Directory

National Provider Directory

Locations

18110 Midway Rd
Ste 146
Dallas, TX 75287
Phone (469) 737-1222

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1336317148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18352 MIDWAY RD",
            "address_2": "146",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752876632",
            "telephone_number": "469-737-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18110 MIDWAY RD",
            "address_2": "146",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752876677",
            "telephone_number": "469-737-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "FLOYD",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "469-737-1222"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "141477",
            "primary": false
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "TX",
            "license": "5094",
            "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 Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.