Active NPI
Derrick D. Lankford
- Home Modifications Contractor
- Dallas, TX
National Provider Identifier
1356681977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- 12915683
- Practice address
- 7708 S Lancaster Rd
Dallas, TX 75241-6404 - Phone
- (469) 556-4664
- Fax
- (972) 228-6693
- NPI assigned
- Feb 19, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | 12915683 | TX | Primary |
Addresses
Primary practice location
7708 S Lancaster Rd
Dallas, TX 75241-6404
Mailing address
7708 S Lancaster Rd
Dallas, TX 75241-6404
Phone (469) 556-4664
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265098396 | Medicaid | TX |
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 |
|---|---|---|---|
| 12915683 | TX | MD | Home Modifications Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JTD Remodeling Inc | Home Modifications | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Modifications Contractor
- Dallas, TX
- NPI 1265098396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1356681977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7708 S LANCASTER RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752416404",
"telephone_number": "469-556-4664",
"fax_number": "972-228-6693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7708 S LANCASTER RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752416404",
"telephone_number": "469-556-4664",
"fax_number": "972-228-6693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANKFORD",
"first_name": "DERRICK",
"middle_name": "D.",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-19",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "TX",
"license": "12915683",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1265098396",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.