CENTERWELL SENIOR PRIMARY CARE-NW DALLAS
NPI 1982329454
Internal Medicine in Dallas, TX

Q: What is Centerwell Senior Primary Care (tx) PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since October 07, 2022CLIA 45D2281940 · Waiver

3701 W NORTHWEST HWY STE 191, DALLAS, TX 75220(469) 606-9590(877) 975-2001 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2023, Jan 26, 2023, Oct 18, 2022 and 1 more (4 updates tracked since 2022).

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About Centerwell Senior Primary Care-nw Dallas NPPES

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

CENTERWELL SENIOR PRIMARY CARE-NW DALLAS (NPI 1982329454) is a healthcare organization registered as an internal medicine in Dallas, Texas and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through May 14, 2027 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1982329454

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCENTERWELL SENIOR PRIMARY CARE (TX) PA

Location Address3701 W NORTHWEST HWY STE 191Dallas, TX 75220-4972

Mailing Address4700 Millenia Blvd Ste 650Orlando, FL 32839-6013 · (407) 447-7120

Phone(469) 606-9590

Fax(877) 975-2001

Organization SubpartYes

Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120

Enumeration DateOctober 7, 2022

Last NPPES UpdateAugust 11, 20234 updates tracked since enumeration

NPPES CertifiedAugust 11, 2023

✔ NPI 1982329454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedGeneral PracticeTaxonomy 208D00000X

3701 W NORTHWEST HWY STE 191, Dallas, TX 75220

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Other Names 1

Doing Business AsCenterwell Senior Primary Care-nw Dallas

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 45D2281940

Centerwell Senior Primary Care - NW Dallas · Dallas, TX

Active · expires May 14, 2027

CLIA Number45D2281940

Laboratory TypePhysician Office

Certificate Effective DateMay 15, 2025

Certificate Expiration DateMay 14, 2027

Laboratory DirectorAn Thien Tang

Laboratory Phone(469) 606-9590

Laboratory LocationCenterwell Senior Primary Care - NW Dallas3701 W Northwest Highway Suite 191, Dallas, TX 75220

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 2

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

CRYSTAL S OWEN FNP-BC

Nurse Practitioner (Family)

3701 W NORTHWEST HWY STE 191
DALLAS, TX 75220

Dallas County (469) 606-9590

MELISSA M BALTAZAR DNP

Nurse Practitioner (Family)

3701 W NORTHWEST HWY STE 191
DALLAS, TX 75220

Dallas County (469) 606-9590

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 Centerwell Senior Primary Care (tx) PA's NPI number?

The NPI number for Centerwell Senior Primary Care (tx) PA is 1982329454. It was assigned to this organization in the NPPES registry on October 7, 2022. The provider is doing business as Centerwell Senior Primary Care-Nw Dallas.

Where is Centerwell Senior Primary Care (tx) PA located?

Centerwell Senior Primary Care (tx) PA is located at 3701 W Northwest Hwy Ste 191, Dallas, TX 75220. The listed phone number is (469) 606-9590.

What is Centerwell Senior Primary Care (tx) PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Centerwell Senior Primary Care (tx) PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2281940) is associated with this NPI, valid through May 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centerwell Senior Primary Care (tx) PA was last updated on August 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.