Organization Active NPI

Sprite Health Mso, Inc.

  • Health Educator
  • Irving, TX
National Provider Identifier
1649858556
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
SPRITE HEALTH MSO, INC.
Practice address
5000 Riverside Dr Ste 100
Irving, TX 75039-4314
Phone
(512) 639-3206
NPI assigned
Mar 31, 2021
Last updated
Mar 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Deepak Gagneja
Title
Ceo
Phone
(512) 639-3206

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

5000 Riverside Dr Ste 100
Irving, TX 75039-4314

Mailing address

1804 Shady Grove CT
Westlake, TX 76262-8236
Phone (512) 639-3206

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1649858556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 SHADY GROVE CT",
            "city": "WESTLAKE",
            "state": "TX",
            "postal_code": "762628236",
            "telephone_number": "512-639-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 RIVERSIDE DR STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750394314",
            "telephone_number": "512-639-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRITE HEALTH MSO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "GAGNEJA",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-639-3206"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.