Active NPI
Julio C Fajardo, D.C.
- Chiropractor
- Fort Worth, TX
National Provider Identifier
1649205568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 9155
- Practice address
- 6316 Azle Ave
Ste 600
Fort Worth, TX 76135-2442 - Phone
- (817) 237-5900
- Fax
- (817) 238-6318
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 9155 | TX | Primary |
Addresses
Primary practice location
6316 Azle Ave
Ste 600
Fort Worth, TX 76135-2442
Mailing address
6316 Azle Ave
Ste 600
Fort Worth, TX 76135-2442
Phone (817) 237-5900
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 |
|---|---|---|---|
| 9155 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213920000000",
"number": "1649205568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6316 AZLE AVE",
"address_2": "STE 600",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761352442",
"telephone_number": "817-237-5900",
"fax_number": "817-238-6318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6316 AZLE AVE",
"address_2": "STE 600",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761352442",
"telephone_number": "817-237-5900",
"fax_number": "817-238-6318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAJARDO",
"first_name": "JULIO",
"middle_name": "C",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2008-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "9155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.