Active NPI
Spine & Orthopedic Institute, PA
- Public Health & General Preventive Medicine Physician
- Irving, TX
National Provider Identifier
1043798077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- L9018
- Legal business name
- SPINE & ORTHOPEDIC INSTITUTE, PA
- Practice address
- 4301 N Macarthur Blvd Ste 100
Irving, TX 75038-6497 - Phone
- (972) 399-9012
- NPI assigned
- Aug 1, 2018
- 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
- Dr. Douglas Won, MD
- Title
- Surgeon
- Phone
- (972) 399-9012
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | L9018 | TX | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | L9018 | TX | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | L9018 | TX | Primary |
Addresses
Primary practice location
4301 N Macarthur Blvd Ste 100
Irving, TX 75038-6497
Mailing address
18208 Preston Rd
D-9 #355
Dallas, TX 75252
Phone (972) 399-9012
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L9018 | Other | TX | TEXAS MEDICAL LICENSE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1542672000000",
"number": "1043798077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18208 PRESTON RD",
"address_2": "D-9 #355",
"city": "DALLAS",
"state": "TX",
"postal_code": "75252",
"telephone_number": "972-399-9012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 N MACARTHUR BLVD STE 100",
"city": "IRVING",
"state": "TX",
"postal_code": "750386497",
"telephone_number": "972-399-9012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPINE & ORTHOPEDIC INSTITUTE, PA",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-01",
"last_updated": "2018-11-20",
"status": "A",
"authorized_official_last_name": "WON",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_title_or_position": "SURGEON",
"authorized_official_telephone_number": "972-399-9012",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "L9018",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "TX",
"license": "L9018",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "TX",
"license": "L9018",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAL LICENSE",
"identifier": "L9018",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.