OrganizationActive
Back2basics Functional Nutrition
NPI 1093662645 · Nutritionist · Irving, TX
Back2basics Functional Nutrition is a Nutritionist organization in Irving, TX (NPI 1093662645).
Provider details
- NPI number
- 1093662645
- Entity type
- Organization
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Niti Shah, Owner(214) 454-2278
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3365 Regent Blvd Ste 130
Irving, TX 75063-3127
Phone: (972) 514-7956
Fax: (972) 366-7946
Approximate (ZIP-level) locationGet directions
Mailing address
3365 Regent Blvd Ste 130
Irving, TX 75063-3127
Other names (DBA / former)
- Doing business as
- Back2basics By Niti
Registry dates
- Enumerated
- 2026-03-12
- Last updated
- 2026-04-13
- Certified
- 2026-04-13
Frequently asked questions
- What is Back2basics Functional Nutrition's NPI number?
- Back2basics Functional Nutrition's National Provider Identifier (NPI) is 1093662645, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Back2basics Functional Nutrition?
- Back2basics Functional Nutrition is classified in the NPPES registry as Nutritionist (Dietary & Nutritional Service Providers).
- Where is Back2basics Functional Nutrition located?
- Back2basics Functional Nutrition's practice location on file with NPPES is 3365 Regent Blvd Ste 130, Irving, TX 75063-3127.
- What is Back2basics Functional Nutrition's phone number?
- The practice phone number listed in the NPPES registry for Back2basics Functional Nutrition is (972) 514-7956.
- Who is the authorized official for Back2basics Functional Nutrition?
- The authorized official listed on Back2basics Functional Nutrition's NPPES record is Niti Shah, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Back2basics Functional Nutrition's NPI active?
- Yes — Back2basics Functional Nutrition's NPI (1093662645) is active in the NPPES registry as of the last update on 2026-04-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.