Organization Active NPI

Staying Healthy Wellness LLC

  • Internal Medicine Physician
  • Plano, TX
National Provider Identifier
1427671981
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
STAYING HEALTHY WELLNESS LLC
Practice address
4700 Dexter Dr Ste 300B
Plano, TX 75093-5294
Phone
(877) 846-5944
NPI assigned
May 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Authorized official

Name
Arthur Stanley Dawson
Title
Executive Director
Phone
(469) 569-7162

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4700 Dexter Dr Ste 300B
Plano, TX 75093-5294

Mailing address

4505 Mahogany LN
Copper Canyon, TX 75077-8546
Phone (469) 569-7162

Other practice location 1

1340 S Main St Ste 185
Grapevine, TX 76051-5547
Phone (877) 846-5944

National Provider Directory

National Provider Directory

Locations

1340 S Main St
Ste 185
Grapevine, TX 76051
Phone (877) 846-5944

4700 Dexter Dr
Ste 300B
Plano, TX 75093
Phone (469) 277-6346

NPI Registry JSON

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1427671981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 MAHOGANY LN",
            "city": "COPPER CANYON",
            "state": "TX",
            "postal_code": "750778546",
            "telephone_number": "469-569-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 DEXTER DR STE 300B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935294",
            "telephone_number": "877-846-5944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1340 S Main St Ste 185",
            "address_purpose": "LOCATION",
            "city": "Grapevine",
            "state": "TX",
            "postal_code": "760515547",
            "country_code": "US",
            "telephone_number": "877-846-5944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STAYING HEALTHY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "469-569-7162"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 May 19, 2020; 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.