Individual provider Active NPI

Tiffany Dawn Jones-Lee, D.C.

  • Chiropractor
  • Livingston, TX
National Provider Identifier
1275523474
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8053 Issued in TX
Practice address
312 E Church St
Livingston, TX 77351-2914
Phone
(936) 327-8800
Fax
(936) 327-3049
NPI assigned
Oct 27, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8053 TX Primary

Addresses

Primary practice location

312 E Church St
Livingston, TX 77351-2914

Mailing address

312 E Church St
Livingston, TX 77351-2914
Phone (936) 327-8800

Other identifiers 2

IdentifierTypeStateIssuer
609137MedicaidTX
04-3775246OtherTXTAX ID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081117000391 TX Practitioner - Chiropractic 2062572365 Practice locations: Livingston, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

312 E Church St
Livingston, TX 77351-2914
Phone (936) 327-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301443200000",
    "number": "1275523474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E CHURCH ST",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773512914",
            "telephone_number": "936-327-8800",
            "fax_number": "936-327-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E CHURCH ST",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773512914",
            "telephone_number": "936-327-8800",
            "fax_number": "936-327-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES-LEE",
        "first_name": "TIFFANY",
        "middle_name": "DAWN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2011-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "609137",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "04-3775246",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.