OrganizationActive
Executive De-Tails
NPI 1629134440 · Contractor · Grand Prairie, TX
Executive De-Tails is a Contractor organization in Grand Prairie, TX (NPI 1629134440).
Provider details
- NPI number
- 1629134440
- Entity type
- Organization
- Primary specialty
- ContractorOther Service Providers
- Organization subpart
- No
- Authorized official
- Mark Aidelojie, Consultant(817) 274-2284
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES 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
2952 Celian Dr
Grand Prairie, TX 75052-8737
Phone: (817) 247-5267
Street-level locationGet directions
Mailing address
2952 Celian Dr
Grand Prairie, TX 75052-8737
Other names (DBA / former)
- Doing business as
- Executive De-Tails
Registry dates
- Enumerated
- 2006-12-28
- Last updated
- 2020-08-22
Frequently asked questions
- What is Executive De-Tails's NPI number?
- Executive De-Tails's National Provider Identifier (NPI) is 1629134440, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Executive De-Tails?
- Executive De-Tails is classified in the NPPES registry as Contractor (Other Service Providers).
- Where is Executive De-Tails located?
- Executive De-Tails's practice location on file with NPPES is 2952 Celian Dr, Grand Prairie, TX 75052-8737.
- What is Executive De-Tails's phone number?
- The practice phone number listed in the NPPES registry for Executive De-Tails is (817) 247-5267.
- Who is the authorized official for Executive De-Tails?
- The authorized official listed on Executive De-Tails's NPPES record is Mark Aidelojie, Consultant. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Executive De-Tails's NPI active?
- Yes — Executive De-Tails's NPI (1629134440) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.