Individual provider Active NPI

Thaddeus Lane Jarrett, D.V.M.

  • Veterinarian
  • Mineral Wells, TX
National Provider Identifier
1982779963
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
6020 Issued in TX
Practice address
801 E Hubbard St
Mineral Wells, TX 76067-5463
Phone
(940) 325-2273
Fax
(940) 325-3862
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 6020 TX Primary

Addresses

Primary practice location

801 E Hubbard St
Mineral Wells, TX 76067-5463

Mailing address

801 E Hubbard St
Mineral Wells, TX 76067-5463
Phone (940) 325-2273

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6020TXMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982779963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E HUBBARD ST",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760675463",
            "telephone_number": "940-325-2273",
            "fax_number": "940-325-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E HUBBARD ST",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760675463",
            "telephone_number": "940-325-2273",
            "fax_number": "940-325-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRETT",
        "first_name": "THADDEUS",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "credential": "D.V.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "TX",
            "license": "6020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineral Wells, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.