Organization Active NPI

Park Cities Wellness Plus LLC

  • Women's Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1477073807
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
Legal business name
PARK CITIES WELLNESS PLUS LLC
Practice address
6211 W Northwest Hwy Ste C255
Dallas, TX 75225-3498
Phone
(469) 620-0445
Fax
(469) 620-0446
NPI assigned
Jun 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Celia Dolinta
Title
Owner
Phone
(469) 620-0445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LW0102X Primary

Addresses

Primary practice location

6211 W Northwest Hwy Ste C255
Dallas, TX 75225-3498

Mailing address

6211 W Northwest Hwy Ste C255
Dallas, TX 75225-3498
Phone (469) 620-0445

Other identifiers 1

IdentifierTypeStateIssuer
194573501MedicaidTX

National Provider Directory

National Provider Directory

Locations

6211 W Northwest Hwy
Ste C255
Dallas, TX 75225
Phone (469) 620-0045

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1477073807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6211 W NORTHWEST HWY STE C255",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752253498",
            "telephone_number": "469-620-0445",
            "fax_number": "469-620-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6211 W NORTHWEST HWY STE C255",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752253498",
            "telephone_number": "469-620-0445",
            "fax_number": "469-620-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK CITIES WELLNESS PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DOLINTA",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-620-0445"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194573501",
            "state": "TX"
        }
    ],
    "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 Jul 21, 2022; 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.