Active NPI
Jesus Tomas Medina Jr., D.C.
- Chiropractor
- McAllen, TX
National Provider Identifier
1831394972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 10512
- Practice address
- 1111 N 10TH St Ste C
McAllen, TX 78501-4307 - Phone
- (956) 682-4339
- Fax
- (956) 682-4336
- NPI assigned
- Jun 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 10512 | TX | Primary |
Addresses
Primary practice location
1111 N 10TH St Ste C
McAllen, TX 78501-4307
Mailing address
1111 N 10TH St Ste C
McAllen, TX 78501-4307
Phone (956) 682-4339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120921000577 | TX | Practitioner - Chiropractic | 9335397025 | Practice locations: McAllen, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10512 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spineworks Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
Locations
1210 W Interstate 2
Ste 10
Pharr, TX 78577
Phone (956) 510-8254
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.
-
- Chiropractor
- Pharr, TX
- NPI 1902621733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390953600000",
"number": "1831394972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 N 10TH ST STE C",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785014307",
"telephone_number": "956-682-4339",
"fax_number": "956-682-4336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 N 10TH ST STE C",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785014307",
"telephone_number": "956-682-4339",
"fax_number": "956-682-4336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "JESUS",
"middle_name": "TOMAS",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-19",
"last_updated": "2014-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "10512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.