David Conrad Ortmeier, LAT

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

AT0820 Issued in TX

Practice address

4900 Wichita TRL
Flower Mound, TX 75022-5628

Phone

(682) 237-0232

NPI assigned

Nov 2, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1154922755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 MONARCH TRL",
            "city": "NORTHLAKE",
            "state": "TX",
            "postal_code": "762262729",
            "telephone_number": "214-449-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 WICHITA TRL",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750225628",
            "telephone_number": "682-237-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTMEIER",
        "first_name": "DAVID",
        "middle_name": "CONRAD",
        "name_prefix": "Mr.",
        "credential": "LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "AT0820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthodontic Professionals
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• Orthopedic Associates of Flower Mound PLLC
• Orthopedic Institute of North Texas, PA
• Orthotexas Physicians and Surgeons, PLLC
• Ortus MD PA
• Ortus MD PA
• Jeremy Ortwine, PHARMD
• Rachel Michelle Osborn, MD
• Lisa Osborne

• Sports Medicine (Family Medicine) Physician in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Sports Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.