Active NPI
Jerald Lee Tennant, MD
- General Practice Physician
- Irving, TX
National Provider Identifier
1710035324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- D1830
- Practice address
- 5601 N Macarthur Blvd
Suite 200
Irving, TX 75038-2606 - Phone
- (972) 580-1156
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | D1830 | TX | |
| General Practice Physician | 208D00000X | D1830 | TX | Primary |
Addresses
Primary practice location
5601 N Macarthur Blvd
Suite 200
Irving, TX 75038-2606
Mailing address
5601 N Macarthur Blvd
Suite 200
Irving, TX 75038-2606
Phone (972) 580-1156
Other names 1
- Dr. Jerry Lee Tennant
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 30, 2014 through Apr 30, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D1830 | TX | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1710035324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5601 N MACARTHUR BLVD",
"address_2": "SUITE 200",
"city": "IRVING",
"state": "TX",
"postal_code": "750382606",
"telephone_number": "972-580-1156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 N MACARTHUR BLVD",
"address_2": "SUITE 200",
"city": "IRVING",
"state": "TX",
"postal_code": "750382606",
"telephone_number": "972-580-1156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENNANT",
"first_name": "JERALD",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "D1830",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TX",
"license": "D1830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JERRY",
"last_name": "TENNANT",
"middle_name": "LEE",
"prefix": "DR.",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.