Individual provider Active NPI

Janair Osarollor, DC

  • Chiropractor
  • Desoto, TX
National Provider Identifier
1508352162
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13415 Issued in TX
Practice address
1229 E Pleasant Run Rd Ste 322
Desoto, TX 75115-4209
Phone
(469) 471-8457
NPI assigned
Jul 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 13415 TX
Pediatric Chiropractor 111NP0017X 13415 TX
Chiropractor 111N00000X 13415 TX Primary

Addresses

Primary practice location

1229 E Pleasant Run Rd Ste 322
Desoto, TX 75115-4209

Mailing address

1229 E Pleasant Run Rd Ste 322
Desoto, TX 75115-4209
Phone (469) 454-0430

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240611000517 TX Practitioner - Chiropractic 3375085905 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13415TXMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sow Graceful Chiropractic LLC Chiropractor CurrentSince May 4, 2024 Accepting new patients

Locations

1229 E Pleasant Run Rd
Ste 322
Desoto, TX 75115
Phone (469) 454-0430

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.

NPI Registry JSON

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1508352162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 E PLEASANT RUN RD STE 322",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751154209",
            "telephone_number": "469-454-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 E PLEASANT RUN RD STE 322",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751154209",
            "telephone_number": "469-471-8457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSAROLLOR",
        "first_name": "JANAIR",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "TX",
            "license": "13415",
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "TX",
            "license": "13415",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13415",
            "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 Jun 3, 2024; 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.