Organization Active NPI

Kairos Health Clinics

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1841782380
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H0710 Issued in TX
Legal business name
KAIROS HEALTH CLINICS
Practice address
6243 Retail Rd Ste 500
Dallas, TX 75231-7808
Phone
(469) 518-5580
Fax
(844) 589-8966
NPI assigned
May 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X H0710 TX Primary

Addresses

Primary practice location

6243 Retail Rd Ste 500
Dallas, TX 75231-7808

Mailing address

9101 LBJ Fwy Ste 310
Dallas, TX 75243-1901
Phone (469) 437-4675

Other names 1

  • Lakewood Med Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1841782380",
    "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": "469-437-4675",
            "fax_number": "469-437-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6243 RETAIL RD STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752317808",
            "telephone_number": "469-518-5580",
            "fax_number": "844-589-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIROS HEALTH CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-11-06",
        "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": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H0710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakewood Med Center",
            "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 Nov 6, 2018; 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.