Individual provider Active NPI

Elena Fajardo, DC

  • Chiropractor
  • Irving, TX
National Provider Identifier
1407568280
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15372 Issued in TX
Practice address
511 E John W Carpenter Fwy
Suite 507
Irving, TX 75062
Phone
(972) 587-7696
NPI assigned
Dec 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15372 TX Primary

Addresses

Primary practice location

511 E John W Carpenter Fwy
Suite 507
Irving, TX 75062

Mailing address

2001 Highway 360 Apt 2304
Euless, TX 76039-5315
Phone (214) 435-2019

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231101000886 TX Practitioner - Chiropractic 1355797010 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15372TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Zenith Chiropractic PLLC Chiropractor CurrentSince Nov 18, 2023 Accepting new patients
Accident & Injury Pain Centers, Inc. PastSince Dec 1, 2022 Accepting new patients
Zenith Chiropractic PLLC PastSince Jun 22, 2021 Accepting new patients
Community Urgent Care, LLC Past Accepting new patients

Locations

6407 S Cooper St
Ste 133
Arlington, TX 76001
Phone (817) 780-0814

16100 State Highway 121
Ste 110
Frisco, TX 75035
Phone (469) 590-0033

800 Forest Oaks Ln
Ste C
Hurst, TX 76053
Phone (817) 203-0870

800 Forest Oaks Ln
Ste B
Hurst, TX 76053
Phone (972) 210-0033

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1671753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1407568280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 HIGHWAY 360 APT 2304",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760395315",
            "telephone_number": "214-435-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 E JOHN W CARPENTER FWY",
            "address_2": "SUITE 507",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75062",
            "telephone_number": "972-587-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAJARDO",
        "first_name": "ELENA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-23",
        "last_updated": "2023-07-07",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.