Organization Active NPI

Dietitians of Dallas, LLC

  • Registered Dietitian
  • Plano, TX
National Provider Identifier
1376125112
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
DIETITIANS OF DALLAS, LLC
Practice address
6600 Chase Oaks Blvd Ste 150
Plano, TX 75023-2383
Phone
(469) 939-1047
NPI assigned
Apr 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Authorized official

Name
Andrea Luongo, RDNPI 1730441411
Title
Owner
Phone
(469) 939-1047

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
Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

6600 Chase Oaks Blvd Ste 150
Plano, TX 75023-2383

Mailing address

6600 Chase Oaks Blvd Ste 150
Plano, TX 75023-2383
Phone (469) 939-1047

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL kalixhealth.com Direct

National Provider Directory

National Provider Directory

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": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1376125112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 CHASE OAKS BLVD STE 150",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750232383",
            "telephone_number": "469-939-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 CHASE OAKS BLVD STE 150",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750232383",
            "telephone_number": "469-939-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIETITIANS OF DALLAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "LUONGO",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-939-1047",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kalixhealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6600 Chase Oaks Blvd Ste 150",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750232383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.