Organization Active NPI

XI Wave Clinic

  • Multi-Specialty Clinic/Center
  • Mesquite, TX
National Provider Identifier
1972338648
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
XI WAVE CLINIC
Practice address
2152 Steer Creek PL
Mesquite, TX 75149-3135
Phone
(580) 475-1399
NPI assigned
Sep 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Dr. Kojo XI Shabazz, NPD
Title
Aboriginal Naturopath Doctor
Phone
(580) 475-1399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2152 Steer Creek PL
Mesquite, TX 75149-3135

Mailing address

2152 Steer Creek PL
Mesquite, TX 75149-3135
Phone (405) 615-9849

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1972338648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2152 STEER CREEK PL",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751493135",
            "telephone_number": "405-615-9849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 STEER CREEK PL",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751493135",
            "telephone_number": "580-475-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XI WAVE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "XI SHABAZZ",
        "authorized_official_first_name": "KOJO",
        "authorized_official_title_or_position": "ABORIGINAL NATUROPATH DOCTOR",
        "authorized_official_telephone_number": "580-475-1399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NPD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.