Organization Active NPI

The Center for Renewed Health & Wellness, P.a.

  • Obstetrics & Gynecology Physician
  • Dallas, TX
National Provider Identifier
1720401268
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L8999 Issued in TX
Legal business name
THE CENTER FOR RENEWED HEALTH & WELLNESS, P.A.
Practice address
3625 N Hall St
Suite 600
Dallas, TX 75219-5106
Phone
(214) 763-1576
NPI assigned
Feb 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Authorized official

Name
Nikki A Walden, M.D.
Title
President
Phone
(214) 763-2992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X L8999 TX Primary

Addresses

Primary practice location

3625 N Hall St
Suite 600
Dallas, TX 75219-5106

Mailing address

PO Box 118383
Attention: Mike Walden
Carrollton, TX 75011-8383
Phone (214) 763-1576

National Provider Directory

National Provider Directory

Locations

3625 N Hall St
Ste 600
Dallas, TX 75219
Phone (214) 763-1576

NPI Registry JSON

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1720401268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 118383",
            "address_2": "ATTENTION: MIKE WALDEN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750118383",
            "telephone_number": "214-763-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 N HALL ST",
            "address_2": "SUITE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752195106",
            "telephone_number": "214-763-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR RENEWED HEALTH & WELLNESS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-03",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "WALDEN",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-763-2992",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L8999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 3, 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.

Verify at the official NPI Registry.