Active NPI
Staying Healthy Wellness LLC
- Internal Medicine Physician
- Plano, TX
National Provider Identifier
1427671981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 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 DirectoryLocations
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.