Organization Active NPI

Sanative LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Dallas, TX
National Provider Identifier
1659849909
Registry record updated Dec 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
Legal business name
SANATIVE LLC
Doing business as
Sanative Health
Practice address
9900 N Central Expy Ste 555
Dallas, TX 75231-0984
Phone
(714) 267-0226
Fax
(214) 935-3654
NPI assigned
Nov 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2018

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

Authorized official

Name
Angela Braswell, HUC
Title
Credentialing Coordinator
Phone
(828) 595-9331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084A0401X Primary

Addresses

Primary practice location

9900 N Central Expy Ste 555
Dallas, TX 75231-0984

Mailing address

30 Mountain Ter
Asheville, NC 28806-1924
Phone (828) 595-9331

Other names 1

  • Sanative Health Doing business as

National Provider Directory

National Provider Directory

Locations

9900 N Central Expy
Ste 555
Dallas, TX 75231
Phone (214) 296-9653

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18269/brand/1/csg/1/fhir/r4

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": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543708800000",
    "number": "1659849909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MOUNTAIN TER",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288061924",
            "telephone_number": "828-595-9331",
            "fax_number": "800-515-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 N CENTRAL EXPY STE 555",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310984",
            "telephone_number": "714-267-0226",
            "fax_number": "214-935-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANATIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-12-02",
        "status": "A",
        "authorized_official_last_name": "BRASWELL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CREDENTIALING  COORDINATOR",
        "authorized_official_telephone_number": "828-595-9331",
        "authorized_official_credential": "HUC"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanative Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanative Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 2, 2018; 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.