Organization Active NPI

J D Fajardo DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Waxahachie, TX
National Provider Identifier
1942302633
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
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
Sep 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Authorized official

Name
J D Fajardo, DPM PC
Title
Doctor
Phone
(972) 938-1368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X 0863 TX Primary

Addresses

Primary practice location

1620 W Highway 287 Business
Waxahachie, TX 75165-4706

Mailing address

1620 W Highway 287 Business
Waxahachie, TX 75165-4706
Phone (972) 938-1368

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278028800000",
    "number": "1942302633",
    "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": "2006-09-02",
        "last_updated": "2010-07-02",
        "status": "A",
        "authorized_official_last_name": "FAJARDO",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "972-938-1368",
        "authorized_official_credential": "DPM PC"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "0863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; 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.