Organization Active NPI

Wellness Center of North Texas

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1982837282
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11260 Issued in TX
Legal business name
WELLNESS CENTER OF NORTH TEXAS
Practice address
2928 Inwood Rd
Dallas, TX 75235-7518
Phone
(972) 699-3696
NPI assigned
Sep 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Authorized official

Name
Dr. Brandon Dustin Black, D.C.
Title
Owner
Phone
(469) 323-3909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 11260 TX Primary

Addresses

Primary practice location

2928 Inwood Rd
Dallas, TX 75235-7518

Mailing address

820 S Macarthur Blvd
Ste 105-127
Coppell, TX 75019-4216
Phone (469) 323-3909

National Provider Directory

National Provider Directory

Locations

820 S MacArthur Blvd
Ste 105127
Coppell, TX 75019

1111 W Mockingbird Ln
Ste 640
Dallas, TX 75247
Phone (945) 300-1600

NPI Registry JSON

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1982837282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S MACARTHUR BLVD",
            "address_2": "STE 105-127",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194216",
            "telephone_number": "469-323-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2928 INWOOD RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357518",
            "telephone_number": "972-699-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CENTER OF NORTH TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "DUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-323-3909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11260",
            "primary": true
        }
    ],
    "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 Sep 2, 2009; 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.