Active NPI
Noel E Mairena, D.C
- Chiropractor
- Richardson, TX
National Provider Identifier
1972808533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11640
- Practice address
- 901 N Jupiter Rd
Suite 110
Richardson, TX 75081-3244 - Phone
- (469) 330-2225
- Fax
- (972) 238-1924
- NPI assigned
- Jan 12, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 11640 | TX | Primary |
Addresses
Primary practice location
901 N Jupiter Rd
Suite 110
Richardson, TX 75081-3244
Mailing address
5316 Whiting Way
Denton, TX 76208-6414
Phone (903) 306-9640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11640 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hickory Creek Rehab and Chiropractic | Chiropractor | Past | Accepting new patients |
| Garland Injury Rehab | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Hickory Creek, TX
- NPI 1417228768
-
- Rehabilitation Chiropractor
- Richardson, TX
- NPI 1972637833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294790400000",
"number": "1972808533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5316 WHITING WAY",
"city": "DENTON",
"state": "TX",
"postal_code": "762086414",
"telephone_number": "903-306-9640",
"fax_number": "972-238-1924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 N JUPITER RD",
"address_2": "SUITE 110",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750813244",
"telephone_number": "469-330-2225",
"fax_number": "972-238-1924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAIRENA",
"first_name": "NOEL",
"middle_name": "E",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-12",
"last_updated": "2011-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "11640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.