Organization Active NPI

Medi Weightloss

  • Medical Specialty Clinic/Center
  • Arlington, TX
National Provider Identifier
1689116832
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
AP131658 Issued in TX
Legal business name
MEDI WEIGHTLOSS
Practice address
4000 Five Points Blvd., Suite 169
Arlington, TX 76018
Phone
(817) 375-0537
NPI assigned
Nov 4, 2016
Last updated
Nov 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Authorized official

Name
Ivy Castillo
Title
Manager
Phone
(817) 375-0537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X AP131658 TX Primary

Addresses

Primary practice location

4000 Five Points Blvd., Suite 169
Arlington, TX 76018

Mailing address

4000 Five Points Blvd., Suite 169
Arlington, TX 76018
Phone (817) 375-0537

National Provider Directory

National Provider Directory
Tax ID family
Medi Weightloss2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1689116832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 FIVE POINTS BLVD., SUITE 169",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76018",
            "telephone_number": "817-375-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 FIVE POINTS BLVD., SUITE 169",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76018",
            "telephone_number": "817-375-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI WEIGHTLOSS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "IVY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-375-0537"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "AP131658",
            "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 Nov 4, 2016; 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.