Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Back2Basics Functional Nutrition

Organization Nutritionist · NPI 1093662645

Back2Basics Functional Nutrition is a Nutritionist in Irving, Texas. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

3365 Regent Blvd Ste 130
Irving, TX 75063-3127
Phone: (972) 514-7956
Fax: (972) 366-7946
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X

Record details

NPI number1093662645
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Niti Shah — Owner · (214) 454-2278
Other names Back2basics By Niti
NPI enumeratedMarch 12, 2026
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026
Mailing address3365 Regent Blvd Ste 130, Irving, TX 75063-3127

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