Individual provider Active NPI

Jennine Morgan Earnhardt, D.C

  • Chiropractor
  • Southlake, TX
National Provider Identifier
1841564762
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15736 Issued in TX
Practice address
1205 S White Chapel Blvd Ste 230
Southlake, TX 76092-9341
Phone
(603) 591-8723
NPI assigned
Feb 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012092 IL
Chiropractor 111N00000X 15736 TX Primary

Addresses

Primary practice location

1205 S White Chapel Blvd Ste 230
Southlake, TX 76092-9341

Mailing address

7904 Chapelwood Dr
North Richland Hills, TX 76182-6724
Phone (603) 591-8723

Other names 1

  • Jennine Carol Morgan Former name

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15723TXMDChiropractor
15736TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1841564762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7904 CHAPELWOOD DR",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761826724",
            "telephone_number": "603-591-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 S WHITE CHAPEL BLVD STE 230",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929341",
            "telephone_number": "603-591-8723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARNHARDT",
        "first_name": "JENNINE",
        "middle_name": "MORGAN",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-24",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012092",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNINE",
            "last_name": "MORGAN",
            "middle_name": "CAROL",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.