Organization Active NPI

Equinox Wellness Center Inc

  • Chiropractor
  • Arlington, TX
National Provider Identifier
1679445795
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
EQUINOX WELLNESS CENTER INC
Practice address
1334 E Pioneer Pkwy Ste a
Arlington, TX 76010-6411
Phone
(817) 801-7300
Fax
(888) 549-2996
NPI assigned
Sep 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

Name
Vian Boutaloth
Title
Ceo
Phone
(817) 801-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1334 E Pioneer Pkwy Ste a
Arlington, TX 76010-6411

Mailing address

1334 E Pioneer Pkwy Ste a
Arlington, TX 76010-6411
Phone (817) 801-7300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260128004200 TX Part B Supplier - Clinic/Group Practice 7719465038 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, TX

National Provider Directory

National Provider Directory

Locations

1334 E Pioneer Pkwy
#A
Arlington, TX 76010
Phone (817) 705-8005

4101 W Green Oaks Blvd
Ste 305430
Arlington, TX 76016

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": "1758153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1679445795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 E PIONEER PKWY STE A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760106411",
            "telephone_number": "817-801-7300",
            "fax_number": "888-549-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 E PIONEER PKWY STE A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760106411",
            "telephone_number": "817-801-7300",
            "fax_number": "888-549-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUINOX WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "BOUTALOTH",
        "authorized_official_first_name": "VIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-801-7300"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.