NPIMap

Organization Active NPI

Advanced Orthopaedics & Sports Medicine

  • Orthopaedic Surgery Physician
  • Houston, TX
National Provider Identifier
1124424171
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ADVANCED ORTHOPAEDICS & SPORTS MEDICINE
Practice address
22485 Tomball Pkwy
Suite 2100
Houston, TX 77070-1551
Phone
(281) 955-7577
NPI assigned
Nov 18, 2014
Organization subpart
Yes
Parent organization
CY-FAIR BONE & JOINTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Authorized official

Name
David Mack, MD
Title
Managing Partner
Phone
(281) 955-7577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

22485 Tomball Pkwy
Suite 2100
Houston, TX 77070-1551

Mailing address

11800 FM 1960 Rd W
Houston, TX 77065-3840

National Provider Directory

National Provider Directory
Tax ID family
Advanced Orthopaedics Sports Medicine6 organizations share this tax ID, including this one
Part of
Advanced Orthopaedics Sports Medicine

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

22485 Tomball Pkwy
Ste 2100
Houston, TX 77070
Phone (281) 664-2107

NPI Registry JSON

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1124424171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22485 TOMBALL PKWY",
            "address_2": "SUITE 2100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701551",
            "telephone_number": "281-955-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ORTHOPAEDICS & SPORTS MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CY-FAIR BONE & JOINT",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "281-955-7577",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.