David Anthony Jarquin, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

14097 Issued in TX

Practice address

3248 S Preston Rd Ste 120
Celina, TX 75009-3875

Phone

(214) 851-0000

Fax

(214) 851-0005

NPI assigned

Jun 23, 2021

Last updated

Sep 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Independence Chiropractic, LLC

  dba Independence Chiropractic

  • Chiropractor
  • Celina, TX
  • NPI 1679296750
  NPD Authorized official

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1699344754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3248 S PRESTON RD STE 120",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750093875",
            "telephone_number": "214-851-0000",
            "fax_number": "214-851-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3248 S PRESTON RD STE 120",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750093875",
            "telephone_number": "214-851-0000",
            "fax_number": "214-851-0005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 N Main St",
            "address_purpose": "LOCATION",
            "city": "Van Alstyne",
            "state": "TX",
            "postal_code": "754959700",
            "country_code": "US",
            "telephone_number": "903-482-1234",
            "fax_number": "903-482-1232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARQUIN",
        "first_name": "DAVID",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-23",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.