Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Back2Basics Functional Nutrition

Organization Nutritionist · NPI 1093662645

Back2Basics Functional Nutrition provides Nutritionist services 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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