Organization Active NPI

Topcare Family & Wellness Clinic

  • Primary Care Clinic/Center
  • Garland, TX
National Provider Identifier
1467911107
Registry record updated Oct 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
TOPCARE FAMILY & WELLNESS CLINIC
Practice address
2940 Broadway Blvd Ste 15
Garland, TX 75041-3749
Phone
(972) 212-4586
NPI assigned
Mar 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2021

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

Authorized official

Name
Shem M Teya, FNP-CNPI 1942769682
Title
Director
Phone
(972) 212-4586

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2940 Broadway Blvd Ste 15
Garland, TX 75041-3749

Mailing address

2940 Broadway Blvd Ste 15
Garland, TX 75041-3749
Phone (972) 212-4586

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190726002644 TX Part B Supplier - Clinic/Group Practice 4284960386 Receives reassigned benefits from 2 practitioners
Practice locations: Garland, 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
45D2166038Topcare Family & Wellness Clinic2940 Broadway Blvd Suite 15, Garland, TX 75041Certificate of waiverMay 9, 2027

National Provider Directory

National Provider Directory

Locations

2940 Broadway Blvd
Ste 15
Garland, TX 75041
Phone (972) 212-4586

Practitioners & affiliated clinicians

Practitioners 2

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": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633132800000",
    "number": "1467911107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 BROADWAY BLVD STE 15",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750413749",
            "telephone_number": "972-212-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 BROADWAY BLVD STE 15",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750413749",
            "telephone_number": "972-212-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOPCARE FAMILY & WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2021-10-02",
        "certification_date": "2021-10-02",
        "status": "A",
        "authorized_official_last_name": "TEYA",
        "authorized_official_first_name": "SHEM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-212-4586",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2021; 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.