Individual provider Active NPI

Jazmine Warden, DC

  • Chiropractor
  • Irving, TX
National Provider Identifier
1699488957
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15365 Issued in TX
Practice address
4000 N Macarthur Blvd Ste 111
Irving, TX 75038-6400
Phone
(469) 565-2354
NPI assigned
Jan 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15365 TX Primary

Addresses

Primary practice location

4000 N Macarthur Blvd Ste 111
Irving, TX 75038-6400

Mailing address

4000 N Macarthur Blvd Ste 111
Irving, TX 75038-6400
Phone (469) 565-2354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230222000006 TX Practitioner - Chiropractic 5799158788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4000 N Macarthur Blvd
Suite 111
Irving, TX 75038-6400
Phone (469) 565-2354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15365TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Palmercare Chiropractic Las Colinas LLC Chiropractor CurrentSince Jan 9, 2023 Accepting new patients

Locations

4000 N MacArthur Blvd
Ste 111
Irving, TX 75038
Phone (469) 565-2354

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1699488957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 N MACARTHUR BLVD STE 111",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386400",
            "telephone_number": "469-565-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 N MACARTHUR BLVD STE 111",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386400",
            "telephone_number": "469-565-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDEN",
        "first_name": "JAZMINE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.