J D Fajardo DPM PC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

0863 Issued in TX

Legal business name

J D FAJARDO DPM PC

Practice address

1620 W Highway 287 Business
Waxahachie, TX 75165-4706

Phone

(972) 938-1368

Fax

(972) 937-1354

NPI assigned

May 6, 2015

Organization subpart

No

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

Authorized official

Name

Jose D Fajardo, DPMNPI 1699809921

Title

Doctor

Phone

(972) 938-1368

Specialties & licenses 7

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose D Fajardo, DPM

  • Foot Surgery Podiatrist
  • Waxahachie, TX
  • NPI 1699809921
  Medicare reassignment Care Compare group NPD Authorized official
• Martin Van Sloan, D.P.M.

  • Podiatrist
  • Abilene, TX
  • NPI 1639178387
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1902283203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 W HIGHWAY 287 BUSINESS",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751654706",
            "telephone_number": "972-938-1368",
            "fax_number": "972-937-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 W HIGHWAY 287 BUSINESS",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751654706",
            "telephone_number": "972-938-1368",
            "fax_number": "972-937-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J D FAJARDO DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "FAJARDO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "972-938-1368",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "0863",
            "primary": false
        },
        {
            "code": "213EP0504X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Public Medicine",
            "state": "TX",
            "license": "0863",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "TX",
            "license": "0863",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Radiology",
            "state": "TX",
            "license": "0863",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Sports Medicine",
            "state": "TX",
            "license": "0863",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "0863",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "0863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018835101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Innate Pain and Anesthesia PLLC
• Intergrated Palliative Care Services PLLC
• Interventional Partners PLLC
• Mazen Iskandar, MD
• J & L Innovations, LLC
• J D Fajardo DPM PC
• Tiana Jackson-Robinson, LPC-A,LCDC-I
• Kehjuana Jackson
• Terrance Marque Jackson, DC
• Bilal Athar Jalil, MD

• Foot Surgery Podiatrist in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Foot Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.

Verify at the official NPI Registry.