Active NPI
The Center for Renewed Health & Wellness, P.a.
- Obstetrics & Gynecology Physician
- Dallas, TX
National Provider Identifier
1720401268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- L8999
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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 DirectoryLocations
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": []
}
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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.