Jose Fajardo

Primary specialty

Radiology PodiatristTaxonomy code 213ER0200X

Legal business name

JOSE FAJARDO

Practice address

1014 Ferris Ave
Suite 214
Waxahachie, TX 75165-2599

Phone

(972) 938-1368

Fax

(972) 938-1354

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jose Fajardo

Title

Doctor

Phone

(372) 398-1368

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1689882060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2439 FM 55",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751658936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 FERRIS AVE",
            "address_2": "SUITE 214",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751652599",
            "telephone_number": "972-938-1368",
            "fax_number": "972-938-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE FAJARDO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "FAJARDO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "372-398-1368",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213ER0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.