Active NPI
Cwida, Inc
- Gerontology Nurse Practitioner
- Addison, TX
National Provider Identifier
1689089401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AP125351
- Legal business name
- CWIDA, INC
- Practice address
- 15800 Dooley Rd Ste 170
Addison, TX 75001-5712 - Phone
- (972) 661-2273
- Fax
- (866) 292-6489
- NPI assigned
- Jul 1, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marvin Fojtaek, MD
- Title
- Owner
- Phone
- (972) 661-2273
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Registered Nurse | 163WG0600X | 767459 | TX | |
| Gerontology Nurse Practitioner | 363LG0600X | AP125351 | TX | Primary |
Addresses
Primary practice location
15800 Dooley Rd Ste 170
Addison, TX 75001-5712
Mailing address
4400 W University Blvd
Apt: 10306
Dallas, TX 75209-3876
Phone (817) 729-5793
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Infectious Disease Physician
- Addison, TX
- NPI 1669475737
-
- Gerontology Nurse Practitioner
- Dallas, TX
- NPI 1609282391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404172800000",
"number": "1689089401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 W UNIVERSITY BLVD",
"address_2": "APT: 10306",
"city": "DALLAS",
"state": "TX",
"postal_code": "752093876",
"telephone_number": "817-729-5793",
"fax_number": "866-292-6489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15800 DOOLEY RD STE 170",
"city": "ADDISON",
"state": "TX",
"postal_code": "750015712",
"telephone_number": "972-661-2273",
"fax_number": "866-292-6489"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CWIDA, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-01",
"last_updated": "2014-07-01",
"status": "A",
"authorized_official_last_name": "FOJTAEK",
"authorized_official_first_name": "MARVIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "972-661-2273",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "163WG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Gerontology",
"state": "TX",
"license": "767459",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "AP125351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Addison, TX
- Laura Marie Cunningham, CCC/SLP
- Deana Curry, CCC/SLP
- Christy Nicole Curtis, PTA
- CVS Pharmacy Inc.
- Cwida Inc
- Karolyn Dailey, APRN
- Dallas Center for Advanced Depression Treatments
- Dallas County Mental Health & Mental Retardation Center
- Dallas Dermatology Partners, PLLC
- Dallas Joint and Spine Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.