Organization Active NPI

Kokoro Health & Wellness Inc.

Doing business as Kokoro

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1801378112
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KOKORO HEALTH & WELLNESS INC.
Doing business as
Kokoro
Practice address
14860 Montfort Dr Ste 140
Dallas, TX 75254-6718
Phone
(972) 201-3552
Fax
(877) 658-8663
NPI assigned
Sep 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Authorized official

Name
Adriane Alexander
Title
Managing Member
Phone
(469) 463-3353

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Home Health Agency 251E00000X
Multi-Specialty Clinic/Center 261QM1300X
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

14860 Montfort Dr Ste 140
Dallas, TX 75254-6718

Mailing address

14860 Montfort Dr Ste 140
Dallas, TX 75254-6718
Phone (972) 201-3552

Other names 1

  • Kokoro Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190206000479 TX Part B Supplier - Clinic/Group Practice 4981940913 Receives reassigned benefits from 2 practitioners
Practice locations: Dallas, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2183851Kokoro Health & Wellness14860 Montfort Dr Suite 140 LB32, Dallas, TX 75254Certificate of waiverMay 10, 2028

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

14860 Montfort Dr
Ste 115
Dallas, TX 75254
Phone (214) 550-1469

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGCJBD

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1801378112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14860 MONTFORT DR STE 140",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752546718",
            "telephone_number": "972-201-3552",
            "fax_number": "776-588-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14860 MONTFORT DR STE 140",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752546718",
            "telephone_number": "972-201-3552",
            "fax_number": "877-658-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOKORO HEALTH & WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-04",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "ADRIANE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "469-463-3353"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kokoro",
            "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 28, 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.

Verify at the official NPI Registry.