Individual provider Active NPI

Michelle Renee Darden-Jefferson, D.C.

  • Chiropractor
  • Desoto, TX
National Provider Identifier
1467899005
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11688 Issued in TX
Practice address
281 N I 35 E
Desoto, TX 75115-5299
Phone
(972) 998-5208
Fax
(469) 297-5167
NPI assigned
May 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11688 TX Primary

Addresses

Primary practice location

281 N I 35 E
Desoto, TX 75115-5299

Mailing address

7810 Sickle Cir
Dallas, TX 75241-5344
Phone (972) 998-5208

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

NPI Registry JSON

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1467899005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7810 SICKLE CIR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752415344",
            "telephone_number": "972-998-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 N I 35 E",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751155299",
            "telephone_number": "972-998-5208",
            "fax_number": "469-297-5167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARDEN-JEFFERSON",
        "first_name": "MICHELLE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-22",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.