Organization Active NPI

Joseph M Tejan MD PA

  • Orthopaedic Surgery Physician
  • Desoto, TX
National Provider Identifier
1972786648
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
K7630 Issued in TX
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

Updated by the provider on Oct 4, 2013

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
200045618OtherTXRAILROAD MEDICARE
029941402MedicaidTX
4906490001OtherTXCIGNA GOVERNMENT SERVICES
00405UOtherTXMEDICARE GROUP

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.