Organization Active NPI

Arlington Integrative Medicine LLC

Doing business as Arlington Integrative Medical Center

  • Adult Medicine Physician
  • Arlington, TX
National Provider Identifier
1932738465
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
ARLINGTON INTEGRATIVE MEDICINE LLC
Doing business as
Arlington Integrative Medical Center
Practice address
1420 N Cooper St Ste 109
Arlington, TX 76011-8530
Phone
(817) 538-5439
NPI assigned
Apr 6, 2020
Last updated
Apr 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Authorized official

Name
Shabana Parvez, MDNPI 1124019260
Title
Ceo, Medical Director
Phone
(817) 538-5439

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

1420 N Cooper St Ste 109
Arlington, TX 76011-8530

Mailing address

1420 N Cooper St Ste 109
Arlington, TX 76011-8530
Phone (817) 538-5439

Other names 1

  • Arlington Integrative Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL WWW,OPTIMANTRA.COM Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

1420 N Cooper St
Ste 109
Arlington, TX 76011
Phone (817) 538-5439

Practitioners & affiliated clinicians

Practitioners 1

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": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1932738465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 N COOPER ST STE 109",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760118530",
            "telephone_number": "817-538-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 N COOPER ST STE 109",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760118530",
            "telephone_number": "817-538-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON INTEGRATIVE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "PARVEZ",
        "authorized_official_first_name": "SHABANA",
        "authorized_official_title_or_position": "CEO, MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "817-538-5439",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WWW,OPTIMANTRA.COM",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "MEDICAL RECORDS AND PATIENT PORTAL",
            "address_1": "1420 N Cooper St Ste 109",
            "city": "Arlington",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760118530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Arlington Integrative Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.