Individual provider Active NPI

Jolene Alisandra Aragon-Rosales, D.C.

  • Chiropractor
  • Edgewood, NM
National Provider Identifier
1710424650
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13380 Issued in TX
Practice address
1841B US Highway 66
Edgewood, NM 87015-6784
Phone
(505) 926-9300
NPI assigned
Jan 30, 2017
Last updated
Mar 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13380 TX Primary

Addresses

Primary practice location

1841B US Highway 66
Edgewood, NM 87015-6784

Mailing address

1841B US Highway 66
Edgewood, NM 87015-6784
Phone (505) 926-9300

Other practice location 1

1841B US Highway 66
Edgewood, NM 87015-6784
Phone (505) 926-9300

Other names 1

  • Jolene Alisandra Aragon Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
13380TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1710424650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841B US HIGHWAY 66",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "870156784",
            "telephone_number": "505-926-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841B US HIGHWAY 66",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "870156784",
            "telephone_number": "505-926-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1841B US Highway 66",
            "address_purpose": "LOCATION",
            "city": "Edgewood",
            "state": "NM",
            "postal_code": "870156784",
            "country_code": "US",
            "telephone_number": "505-926-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARAGON-ROSALES",
        "first_name": "JOLENE",
        "middle_name": "ALISANDRA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-30",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOLENE",
            "last_name": "ARAGON",
            "middle_name": "ALISANDRA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edgewood, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.