Individual provider Active NPI

Tanya Nicole McClendon, D.C.

  • Chiropractor
  • Duncanville, TX
National Provider Identifier
1437698537
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14130 Issued in TX
Practice address
1414 W Wheatland Rd Ste 103
Duncanville, TX 75116
Phone
(972) 232-7129
NPI assigned
Feb 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14130 TX Primary

Addresses

Primary practice location

1414 W Wheatland Rd Ste 103
Duncanville, TX 75116

Mailing address

1414 W Wheatland Rd Ste 103
Duncanville, TX 75116-4249
Phone (972) 232-7129

Other practice location 1

1414 W Wheatland Rd Ste 103
Duncanville, TX 75116
Phone (972) 232-7129

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200113000405 TX Practitioner - Chiropractic 6305106691 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14130TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Imed Physician Network, Inc. CurrentSince Sep 2, 2024 Accepting new patients
Bush Career Institute Current Accepting new patients
Medical Surgical & Compcare Enviva PLLC Past Accepting new patients

Locations

220 E 3rd Ave
Corsicana, TX 75110

8100 John W Carpenter Fwy
Ste 150
Dallas, TX 75247
Phone (972) 672-4895

1313 E Franklin St
Hillsboro, TX 76645
Phone (254) 582-8475

2700 W Pleasant Run Rd
Ste 340
Lancaster, TX 75146
Phone (469) 206-4515

Organizations & group practices 3

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": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1437698537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 W WHEATLAND RD STE 103",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164249",
            "telephone_number": "972-232-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W WHEATLAND RD STE 103",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "75116",
            "telephone_number": "972-232-7129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1414 W Wheatland Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Duncanville",
            "state": "TX",
            "postal_code": "75116",
            "country_code": "US",
            "telephone_number": "972-232-7129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLENDON",
        "first_name": "TANYA",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncanville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.