Organization Active NPI

Kairos Multispecialty Clinics

  • Clinic/Center
  • Dallas, TX
National Provider Identifier
1699311399
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KAIROS MULTISPECIALTY CLINICS
Practice address
12610 E Northwest Hwy
Dallas, TX 75228-8010
Phone
(469) 437-3650
Fax
(844) 846-8853
NPI assigned
Nov 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Authorized official

Name
Angela R Hill
Title
Director
Phone
(469) 867-3565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

12610 E Northwest Hwy
Dallas, TX 75228-8010

Mailing address

9101 LBJ Fwy Ste 310
Dallas, TX 75243-1901
Phone (469) 437-3650

Other names 1

  • Trinetic Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

12610 E Northwest Hwy
Dallas, TX 75228
Phone (214) 946-5165

6801 Delany Rd
Hitchcock, TX 77563
Phone (409) 655-2770

NPI Registry JSON

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1699311399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 LBJ FWY STE 310",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431901",
            "telephone_number": "469-437-3650",
            "fax_number": "844-846-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12610 E NORTHWEST HWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752288010",
            "telephone_number": "469-437-3650",
            "fax_number": "844-846-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIROS MULTISPECIALTY CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-18",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "469-867-3565"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinetic Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trinetic Wellness",
            "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 Apr 23, 2020; 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.