Individual provider Active NPI

Christopher Lucien Jagmin, M.D.

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1386096238
Registry record updated Jul 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G6667 Issued in TX
Practice address
8181 Douglas Ave
#610
Dallas, TX 75225-6561
Phone
(214) 265-8566
NPI assigned
Jul 4, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G6667 TX Primary

Addresses

Primary practice location

8181 Douglas Ave
#610
Dallas, TX 75225-6561

Mailing address

8181 Douglas Ave
#610
Dallas, TX 75225-6561
Phone (214) 265-8566

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G6667TXMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1467590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467590400000",
    "number": "1386096238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8181 DOUGLAS AVE",
            "address_2": "#610",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256561",
            "telephone_number": "214-265-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8181 DOUGLAS AVE",
            "address_2": "#610",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256561",
            "telephone_number": "214-265-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGMIN",
        "first_name": "CHRISTOPHER",
        "middle_name": "LUCIEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-04",
        "last_updated": "2016-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G6667",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 4, 2016; 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.