Active NPI
Joseph M Tejan MD PA
- Orthopaedic Surgery Physician
- Desoto, TX
National Provider Identifier
1972786648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- K7630
- Legal business name
- JOSEPH M TEJAN MD PA
- Practice address
- 1001 York Drive
Desoto, TX 75115-2083 - Phone
- (972) 283-0200
- Fax
- (972) 283-2515
- NPI assigned
- Dec 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Angelia K Christian
- Title
- Practice Manager
- Phone
- (972) 283-0200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | K7630 | TX | Primary |
Addresses
Primary practice location
1001 York Drive
Desoto, TX 75115-2083
Mailing address
1001 York Drive
Desoto, TX 75115-2083
Phone (972) 283-0200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200045618 | Other | TX | RAILROAD MEDICARE |
| 029941402 | Medicaid | TX | |
| 4906490001 | Other | TX | CIGNA GOVERNMENT SERVICES |
| 00405U | Other | TX | MEDICARE GROUP |
National Provider Directory
National Provider DirectoryLocations
3450 W Wheatland Rd
Bldg 1
Dallas, TX 75237
Phone (972) 283-0200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380844800000",
"number": "1972786648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 YORK DRIVE",
"city": "DESOTO",
"state": "TX",
"postal_code": "751152083",
"telephone_number": "972-283-0200",
"fax_number": "972-283-2515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 YORK DRIVE",
"city": "DESOTO",
"state": "TX",
"postal_code": "751152083",
"telephone_number": "972-283-0200",
"fax_number": "972-283-2515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSEPH M TEJAN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-17",
"last_updated": "2013-10-04",
"status": "A",
"authorized_official_last_name": "CHRISTIAN",
"authorized_official_first_name": "ANGELIA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "972-283-0200",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "K7630",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "200045618",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "029941402",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA GOVERNMENT SERVICES",
"identifier": "4906490001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "00405U",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Desoto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.