Active NPI
Tankiso Katleho Mochache, DC
- Rehabilitation Chiropractor
- Grand Prairie, TX
National Provider Identifier
1285984906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 12064
- Practice address
- 2922 Alouette Dr
Grand Prairie, TX 75052-8136 - Phone
- (972) 955-4134
- Fax
- (817) 633-4464
- NPI assigned
- Sep 11, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 12064 | TX | Primary |
Addresses
Primary practice location
2922 Alouette Dr
Grand Prairie, TX 75052-8136
Mailing address
2922 Alouette Dr
Grand Prairie, TX 75052-8136
Phone (972) 955-4134
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12064 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374019200000",
"number": "1285984906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2922 ALOUETTE DR",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750528136",
"telephone_number": "972-955-4134",
"fax_number": "817-633-4464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2922 ALOUETTE DR",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750528136",
"telephone_number": "972-955-4134",
"fax_number": "817-633-4464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOCHACHE",
"first_name": "TANKISO",
"middle_name": "KATLEHO",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-11",
"last_updated": "2013-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "TX",
"license": "12064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.