NPIMap

Organization Active NPI

Living Well Dallas, Inc.

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1902951221
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LIVING WELL DALLAS, INC.
Practice address
17000 Preston Rd Ste 400
Dallas, TX 75248-1201
Phone
(972) 930-0260
Fax
(972) 559-3648
NPI assigned
Jan 25, 2007
Last updated
Oct 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Authorized official

Name
Mrs. Betty Murray, MS, CNNPI 1063719011
Title
Ceo
Phone
(972) 930-0260

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X
Counselor 101Y00000X 61689 TX
Counselor 101Y00000X 66077 TX
Counselor 101Y00000X 62930 TX
Nutritionist 133N00000X 001141 CO
Internal Medicine Physician 207R00000X Primary
Psychiatry Physician 2084P0800X

Addresses

Primary practice location

17000 Preston Rd Ste 400
Dallas, TX 75248-1201

Mailing address

17000 Preston Rd Ste 400
Dallas, TX 75248-1201
Phone (972) 930-0260

National Provider Directory

National Provider Directory

Locations

14330 Midway Rd
Ste 121
Dallas, TX 75244
Phone (972) 930-0260

17000 Preston Rd
Ste 400
Dallas, TX 75248
Phone (972) 930-0260

Practitioners & affiliated clinicians

Practitioners 8

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": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1902951221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 PRESTON RD STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481201",
            "telephone_number": "972-930-0260",
            "fax_number": "972-559-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 PRESTON RD STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481201",
            "telephone_number": "972-930-0260",
            "fax_number": "972-559-3648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL DALLAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-930-0260",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "61689",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "66077",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "62930",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "CO",
            "license": "001141",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Oct 1, 2019; 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.