Active NPI
Kairos Multispecialty Clinics
- Clinic/Center
- Dallas, TX
National Provider Identifier
1699311399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.