NPIMap

Organization Active NPI

Ahr Medical Group, PA

Doing business as Nextgen Wellness Clinic

  • Health Maintenance Organization
  • Addison, TX
National Provider Identifier
1912458266
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
1265208 Issued in TX
Legal business name
AHR MEDICAL GROUP, PA
Doing business as
Nextgen Wellness Clinic
Practice address
4101 Centurion Way
Addison, TX 75001-4347
Phone
(972) 382-9992
NPI assigned
Oct 21, 2016
Last updated
Oct 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Authorized official

Name
Dr. Grant Stophlet, D.O.
Title
Physical Therapist
Phone
(972) 382-9992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 1265208 TX Primary

Addresses

Primary practice location

4101 Centurion Way
Addison, TX 75001-4347

Mailing address

4101 Centurion Way
Addison, TX 75001-4347
Phone (972) 382-9992

Other names 1

  • Nextgen Wellness Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ahr Medical Group PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4101 Centurion Way
Addison, TX 75001
Phone (972) 382-9992

NPI Registry JSON

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1912458266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 CENTURION WAY",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014347",
            "telephone_number": "972-382-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 CENTURION WAY",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014347",
            "telephone_number": "972-382-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHR MEDICAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "STOPHLET",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "972-382-9992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TX",
            "license": "1265208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nextgen 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 Oct 21, 2016; 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.