Organization Active NPI

J. Teig Port, M.D., P.a.

  • Orthopaedic Surgery Physician
  • Sunnyvale, TX
National Provider Identifier
1124157235
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
J. TEIG PORT, M.D., P.A.
Practice address
2822 N Belt Line Rd Ste 200
Sunnyvale, TX 75182-9321
Phone
(972) 288-3331
Fax
(972) 288-3340
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Authorized official

Name
Mr. J Teig Port, M.D.NPI 1376517284
Title
President
Phone
(972) 288-3331

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X

Addresses

Primary practice location

2822 N Belt Line Rd Ste 200
Sunnyvale, TX 75182-9321

Mailing address

2822 N Belt Line Rd Ste 200
Sunnyvale, TX 75182-9321
Phone (972) 288-3331

Other identifiers 2

IdentifierTypeStateIssuer
151832601MedicaidTX
DA3112OtherTXPALMETTO GBA

Other names 1

  • Orthopaedic Center of Mesquite Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040501000432 TX Part B Supplier - Clinic/Group Practice 8820086614 Receives reassigned benefits from 1 practitioner
Practice locations: Sunnyvale, TX
O20100930068692 TX DME Supplier - Physician - Orthopedic/Orthopedic Surgery 8820086614 Practice locations: Sunnyvale, TX

National Provider Directory

National Provider Directory

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": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1124157235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2822 N BELT LINE RD STE 200",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751829321",
            "telephone_number": "972-288-3331",
            "fax_number": "972-288-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2822 N BELT LINE RD STE 200",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751829321",
            "telephone_number": "972-288-3331",
            "fax_number": "972-288-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. TEIG PORT, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "PORT",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "TEIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-288-3331",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151832601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "DA3112",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopaedic Center of Mesquite",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 25, 2025; 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.