Orthopedic Associates of Dallas LLP

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ORTHOPEDIC ASSOCIATES OF DALLAS LLP

Practice address

3900 Junius St
Suite 500
Dallas, TX 75246-1615

Phone

(214) 823-7090

Fax

(214) 823-1644

NPI assigned

Aug 10, 2006

Organization subpart

Yes

Parent organization

ORTHOPEDIC ASSOCIATES OF DALLAS LLPAs reported in NPPES

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

Authorized official

Name

Mr. Tracy Jackson

Title

Executive Director

Phone

(214) 823-7090

Specialties & licenses 7

Addresses

Other identifiers 2

Part of

Orthopedic Assoc of Dal

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1063423911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650500",
            "telephone_number": "214-818-1288",
            "fax_number": "214-818-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 JUNIUS ST",
            "address_2": "SUITE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461615",
            "telephone_number": "214-823-7090",
            "fax_number": "214-823-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC ASSOCIATES OF DALLAS LLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOPEDIC ASSOCIATES OF DALLAS LLP",
        "enumeration_date": "2006-08-10",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "214-823-7090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00K730",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083558901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ortholonestar, PLLC
• Ortholonestar, PLLC (Texas Orthopaedic Associates)
• Ortholonestar, PLLC (Texas Orthopaedic Associates)
• Ortholonestar, PLLC (Texas Orthopaedic Associates)
• Orthopaedic Surgery and Sports Medicine of Texas, P.a.
• Orthopedic Associates of Dallas, LLP
• Orthopedic Associates of Dallas, LLP
• Orthopedic Manual Physical Therapy Institute of Dallas Inc
• Orthopedic Physical Therapy Specialists P C
• Orthospineassist, PLLC

• Orthopaedic Surgery Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.