Colleyville Body Focus Spa and Wellness Dba Juvia Med Spa

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

COLLEYVILLE BODY FOCUS SPA AND WELLNESS DBA JUVIA MED SPA

Practice address

4620 Colleyville Blvd
#102
Colleyville, TX 76034-3971

Phone

(972) 792-5700

NPI assigned

Aug 10, 2015

Last updated

Aug 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joel Ciarochi, MD

Title

Practice Manager

Phone

(972) 792-5700

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amir Baluch, MD

  • Anesthesiology Physician
  • Miami, FL
  • NPI 1497957476
  NPD

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1548646789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 COLLEYVILLE BLVD",
            "address_2": "#102",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760343971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 COLLEYVILLE BLVD",
            "address_2": "#102",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760343971",
            "telephone_number": "972-792-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEYVILLE BODY FOCUS SPA AND WELLNESS DBA JUVIA MED SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "CIAROCHI",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "972-792-5700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Lowe Clark, MD
• Kimberly Coffee, AGPCNP
• Colin Tkachuk (Optimum Chiropractic and Wellness Center)
• Collaborative Counselor Enterprises, PLLC
• Collaborative Wellness Center LLC
• Colleyville Body Focus Wellness Clinic, LLC (Juvia Med Spa)
• Colleyville Chiropractic, PLLC
• Colleyville Dentistry PLLC (Colleyville Dentistry)
• Colleyville Eye Corporation (Simply Eyes)
• Colleyville Medical Center LLC (First Choice Emergency Room)

• Clinic/Center in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.