NPIMap

Organization Active NPI

Cy-Fair Bone & Joint, LLP

Doing business as AdvancedOrthopaedics & Sports Medicine

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Cypress, TX
National Provider Identifier
1144452707
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
CY-FAIR BONE & JOINT, LLP
Doing business as
AdvancedOrthopaedics & Sports Medicine
Practice address
21212 Northwest Fwy
Suite 605
Cypress, TX 77429-5884
Phone
(281) 664-2107
Fax
(281) 955-5875
NPI assigned
Aug 17, 2009
Last updated
Jul 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Authorized official

Name
Dr. David Ross Mack, MDNPI 1922054063
Title
Managing Partner
Phone
(281) 664-2107

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X Primary

Addresses

Primary practice location

21212 Northwest Fwy
Suite 605
Cypress, TX 77429-5884

Mailing address

11800 FM 1960 Rd W
Houston, TX 77065-3840
Phone (281) 664-2107

Other names 1

  • AdvancedOrthopaedics & Sports Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cy-Fair Bone and Joint6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1144452707",
    "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",
            "telephone_number": "281-664-2107",
            "fax_number": "281-955-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21212 NORTHWEST FWY",
            "address_2": "SUITE 605",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295884",
            "telephone_number": "281-664-2107",
            "fax_number": "281-955-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CY-FAIR BONE & JOINT, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "281-664-2107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AdvancedOrthopaedics & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.