Antonio Jimenez, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

15819 Issued in TX

Practice address

760 W Pipeline Rd Ste 201
Hurst, TX 76053-4928

Phone

(817) 477-6282

NPI assigned

Jan 9, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Healthsource of Lewisville PLLCGroup PAC ID 2961940051, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Healthsource of Lewisville PLLC

  • Chiropractor
  • Lewisville, TX
  • NPI 1528896875
  Medicare reassignment Care Compare group NPD
• Cni Holistic Wellness

  • Chiropractor
  • Lewisville, TX
  • NPI 1467045666
  NPD

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1548031677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 WILDWOOD DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760115057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 W PIPELINE RD STE 201",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760534928",
            "telephone_number": "817-477-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Unknown Jenny Ann George
• Mary Katherine Jensen, CF-SLP
• Tricia Jenson
• Jerika PA
• Irene Jideofor, FNP
• Jin Lin Dentistry PLLC
• Karan Tulshi Jiva, DDS
• JLM Home Care LLC
• Maria Regina Jocson, OTR
• Jordan Christopher Joe

• Chiropractor in Hurst, TX
• Providers in Hurst, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.