Active NPI
Mariam Jeneen McLeod, D.C.
- Chiropractor
- Lewisville, TX
National Provider Identifier
1689837064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 10916
- Practice address
- 2488 Meadowglen Dr
Suite 201
Lewisville, TX 75067-6541 - Phone
- (972) 456-3888
- Fax
- (972) 459-7038
- NPI assigned
- Jul 7, 2008
- Sex
- Female
- 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 | 10916 | TX | Primary |
Addresses
Primary practice location
2488 Meadowglen Dr
Suite 201
Lewisville, TX 75067-6541
Mailing address
2488 Meadowglen Dr
Suite 201
Lewisville, TX 75067-6541
Phone (972) 456-3888
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10916 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215388800000",
"number": "1689837064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2488 MEADOWGLEN DR",
"address_2": "SUITE 201",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750676541",
"telephone_number": "972-456-3888",
"fax_number": "972-459-7038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2488 MEADOWGLEN DR",
"address_2": "SUITE 201",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750676541",
"telephone_number": "972-456-3888",
"fax_number": "972-459-7038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEOD",
"first_name": "MARIAM",
"middle_name": "JENEEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-07",
"last_updated": "2008-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "10916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.