NORTH DALLAS MEDICAL GROUP, PLLC
NPI 1790005734
Clinic/Center - Multi-Specialty in Addison, TX

Active since June 01, 2010CLIA 45D2324901 · Waiver
16901 DALLAS PKWY STE 206, ADDISON, TX 75001(214) 233-3094(214) 241-1167 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 9, 2025, Feb 28, 2025, Feb 24, 2022 (3 updates tracked since 2022).

About North Dallas Medical Group, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH DALLAS MEDICAL GROUP, PLLC (NPI 1790005734), doing business as Innovaretx Regenerative & Wellness Clinic, is a healthcare organization registered as a multi-specialty in Addison, Texas and active in the NPI registry since June 2010. The organization holds a CLIA Waiver certificate valid through June 2, 2027 and lists Zenia C Ortega, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1790005734
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameNORTH DALLAS MEDICAL GROUP, PLLC
Location Address16901 DALLAS PKWY STE 206Addison, TX 75001-5214
Mailing Address7224 Canongate DrDallas, TX 75248 · (241) 244-6171 · Fax (972) 733-0991
Fax(214) 241-1167
Organization SubpartNo
Authorized OfficialZenia C OrtegaPractice Manager · (214) 233-3094
Enumeration DateJune 1, 2010
Last NPPES UpdateMay 9, 20253 updates tracked since enumeration
NPPES CertifiedMay 9, 2025
NPI 1790005734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
16901 DALLAS PKWY STE 206, Addison, TX 75001

Other Names 1

Doing Business AsInnovaretx Regenerative & Wellness Clinic

Other Identifiers 1

OtherPA02353TX · Texas Medical Board

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2324901

North Dallas Medical Group Dba Innovare Tx · Addison, TX
Active · expires Jun 2, 2027
CLIA Number45D2324901
Laboratory TypePhysician Office
Certificate Effective DateJune 3, 2025
Certificate Expiration DateJune 2, 2027
Laboratory DirectorCharles E. Ortega
Laboratory Phone(214) 233-3094
Laboratory LocationNorth Dallas Medical Group Dba Innovare Tx16901 Dallas Parkway Suite 206, Addison, TX 75001
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
16901 DALLAS PKWY STE 206
ADDISON, TX 75001
Physician Assistant
16901 DALLAS PKWY STE 206
ADDISON, TX 75001
Massage Therapist
16901 DALLAS PKWY STE 206
ADDISON, TX 75001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Dallas Medical Group, PLLC's NPI number?

The NPI number for North Dallas Medical Group, PLLC is 1790005734. It was assigned to this organization in the NPPES registry on June 1, 2010. The provider is doing business as InnovareTx Regenerative & Wellness Clinic.

Where is North Dallas Medical Group, PLLC located?

North Dallas Medical Group, PLLC is located at 16901 Dallas Pkwy Ste 206, Addison, TX 75001. The listed phone number is (214) 233-3094.

What is North Dallas Medical Group, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does North Dallas Medical Group, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2324901) is associated with this NPI, valid through June 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does North Dallas Medical Group, PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list North Dallas Medical Group, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for North Dallas Medical Group, PLLC was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.