Active NPI
Modern Enhancement
- Family Nurse Practitioner
- Dallas, TX
National Provider Identifier
1992317341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- MODERN ENHANCEMENT
- Practice address
- 2777 N Stemmons Fwy Ste 1141
Dallas, TX 75207-2273 - Phone
- (927) 699-3696
- NPI assigned
- Aug 18, 2020
- 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
- Maghen Da'Nai Mitchell, NP-C
- Title
- Aprn
- Phone
- (214) 463-6808
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
2777 N Stemmons Fwy Ste 1141
Dallas, TX 75207-2273
Mailing address
2777 N Stemmons Fwy Ste 1141
Dallas, TX 75207-2273
Phone (927) 699-3696
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@modernenhancement.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
2777 N Stemmons Fwy
Ste 1141
Dallas, TX 75207
Phone (927) 699-3696
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Oklahoma City, OK
- NPI 1689068371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597708800000",
"number": "1992317341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2777 N STEMMONS FWY STE 1141",
"city": "DALLAS",
"state": "TX",
"postal_code": "752072273",
"telephone_number": "927-699-3696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2777 N STEMMONS FWY STE 1141",
"city": "DALLAS",
"state": "TX",
"postal_code": "752072273",
"telephone_number": "927-699-3696"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MODERN ENHANCEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-18",
"last_updated": "2020-08-18",
"certification_date": "2020-08-18",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "MAGHEN",
"authorized_official_middle_name": "DA'NAI",
"authorized_official_title_or_position": "APRN",
"authorized_official_telephone_number": "214-463-6808",
"authorized_official_credential": "NP-C"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@modernenhancement.com",
"affiliation": "N",
"endpointDescription": "business emai",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2777 N Stemmons Fwy Ste 1141",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "752072273",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 18, 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.