Active NPI
XI Wave Clinic
- Multi-Specialty Clinic/Center
- Mesquite, TX
National Provider Identifier
1972338648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Religious Nonmedical Practitioner
- Mesquite, TX
- NPI 1598565590
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.