Organization Active NPI

Sunnyvale Sports Medicine and Orthopedic Center PLLC

  • Orthopaedic Surgery Physician
  • Sunnyvale, TX
National Provider Identifier
1043812720
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SUNNYVALE SPORTS MEDICINE AND ORTHOPEDIC CENTER PLLC
Practice address
341 Wheatfield Dr Ste 290
Sunnyvale, TX 75182-4655
Phone
(864) 981-3535
NPI assigned
Nov 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Authorized official

Name
Dr. John Hibbitts, MDNPI 1053360271
Title
Owner
Phone
(864) 981-3535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

341 Wheatfield Dr Ste 290
Sunnyvale, TX 75182-4655

Mailing address

341 Wheatfield Dr Ste 290
Sunnyvale, TX 75182-4655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251121002055 TX DME Supplier - Physician - Orthopedic/Orthopedic Surgery 8527473594 Practice locations: Sunnyvale, TX

National Provider Directory

National Provider Directory

Locations

3865 Childress Ave
Mesquite, TX 75150
Phone (972) 528-6090

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1043812720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 WHEATFIELD DR STE 290",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751824655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 WHEATFIELD DR STE 290",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751824655",
            "telephone_number": "864-981-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNYVALE SPORTS MEDICINE AND ORTHOPEDIC CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "HIBBITTS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-981-3535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.