Jaelyn ENT., P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10088 Issued in TX

Legal business name

JAELYN ENT., P.A.

Practice address

466 Mid Cities Blvd
Hurst, TX 76054-2430

Phone

(817) 281-9040

Fax

(817) 281-4249

NPI assigned

Mar 6, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jessica Stangenwald Wilson, D.C.

Title

President

Phone

(817) 281-9040

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie Lyn Reid, D.C.

  • Chiropractor
  • Harker Heights, TX
  • NPI 1992822332
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265562987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 MID CITIES BLVD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542430",
            "telephone_number": "817-281-9040",
            "fax_number": "817-281-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 MID CITIES BLVD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542430",
            "telephone_number": "817-281-9040",
            "fax_number": "817-281-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAELYN ENT., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "STANGENWALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-281-9040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J. Michael Merrill, D.O., P.a. (Hurst Family Medical)
• Daniel Wayne Jackson Jr., PHD
• Diamond L Jackson
• Pamela Dee Jackson, COTA
• Shane Jackson, OWNER
• Aleena Jamal
• James B. Wright, D.D.S., Inc.
• James L Thomason MD
• Brooke Nicole James, MS, CCC-SLP
• Jordan Elisabeth James

• Chiropractor in Hurst, TX
• Providers in Hurst, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.