Active NPI
North Dallas Medical Group, PLLC
Doing business as InnovareTx Regenerative & Wellness Clinic
- Multi-Specialty Clinic/Center
- Addison, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- NORTH DALLAS MEDICAL GROUP, PLLC
- Doing business as
- InnovareTx Regenerative & Wellness Clinic
- Practice address
- 16901 Dallas Pkwy Ste 206
Addison, TX 75001-5214 - Phone
- (214) 233-3094
- Fax
- (214) 241-1167
- NPI assigned
- Jun 1, 2010
- Last updated
- May 9, 2025
- 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
- Mrs. Zenia C Ortega
- Title
- Practice Manager
- Phone
- (214) 233-3094
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
16901 Dallas Pkwy Ste 206
Addison, TX 75001-5214
Mailing address
7224 Canongate Dr
Dallas, TX 75248
Phone (241) 244-6171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA02353 | Other | TX | TEXAS MEDICAL BOARD |
Other names 1
- InnovareTx Regenerative & Wellness Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2324901 | North Dallas Medical Group | Certificate of waiver | Jun 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
16901 Dallas Pkwy
Ste 210
Addison, TX 75001
Phone (214) 233-3094
6025 Royal Ln
Bldg 219
Dallas, TX 75230
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Addison, TX
- NPI 1265325625
-
- Physician Assistant
- Addison, TX
- NPI 1285844837
-
- Family Medicine Physician
- Cedar Hill, TX
- NPI 1487971719
-
- Occupational Medicine Physician
- Dallas, TX
- NPI 1811382351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746748800000",
"number": "1790005734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7224 CANONGATE DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "75248",
"telephone_number": "241-244-6171",
"fax_number": "972-733-0991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16901 DALLAS PKWY STE 206",
"city": "ADDISON",
"state": "TX",
"postal_code": "750015214",
"telephone_number": "214-233-3094",
"fax_number": "214-241-1167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH DALLAS MEDICAL GROUP, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-01",
"last_updated": "2025-05-09",
"certification_date": "2025-05-09",
"status": "A",
"authorized_official_last_name": "ORTEGA",
"authorized_official_first_name": "ZENIA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "214-233-3094",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAL BOARD",
"identifier": "PA02353",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "InnovareTx Regenerative & Wellness Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Addison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.