Active NPI
Garrett Mayeaux, DC
- Chiropractor
- Prosper, TX
National Provider Identifier
1598355265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14647
- Practice address
- 550 Industry Way Unit 40
Prosper, TX 75078-2380 - Phone
- (469) 919-6299
- NPI assigned
- Jan 26, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 14647 | TX | Primary |
Addresses
Primary practice location
550 Industry Way Unit 40
Prosper, TX 75078-2380
Mailing address
2935 Hudson Blvd Apt 227
The Colony, TX 75056-4872
Phone (903) 576-5864
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14647 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638748800000",
"number": "1598355265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2935 HUDSON BLVD APT 227",
"city": "THE COLONY",
"state": "TX",
"postal_code": "750564872",
"telephone_number": "903-576-5864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 INDUSTRY WAY UNIT 40",
"city": "PROSPER",
"state": "TX",
"postal_code": "750782380",
"telephone_number": "469-919-6299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYEAUX",
"first_name": "GARRETT",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-26",
"last_updated": "2021-12-06",
"certification_date": "2021-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "14647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prosper, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.