NPIMap

Organization Active NPI

Cy-Fair Bone and Joint

Doing business as Advanced Orthopaedics and Sports Medicine

  • Orthopaedic Surgery Physician
  • Tomball, TX
National Provider Identifier
1174762579
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
CY-FAIR BONE AND JOINT
Doing business as
Advanced Orthopaedics and Sports Medicine
Practice address
455 School St
Suite 24
Tomball, TX 77375-4595
Phone
(281) 955-7577
Fax
(281) 955-5875
NPI assigned
Feb 10, 2009
Last updated
Nov 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

455 School St
Suite 24
Tomball, TX 77375-4595

Mailing address

11800 FM 1960 Rd W
Houston, TX 77065-3840
Phone (281) 955-7577

Other identifiers 1

IdentifierTypeStateIssuer
00897ROtherTXMEDICARE PTAN

Other names 1

  • Advanced Orthopaedics and Sports Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cy-Fair Bone Joint LLP6 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.

Locations

455 School St
Ste 24
Tomball, TX 77375
Phone (281) 655-8114

NPI Registry JSON

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1174762579",
    "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": "281-955-7577",
            "fax_number": "281-955-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SCHOOL ST",
            "address_2": "SUITE 24",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754595",
            "telephone_number": "281-955-7577",
            "fax_number": "281-955-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CY-FAIR BONE AND JOINT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-10",
        "last_updated": "2011-11-23",
        "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": "281-955-7577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00897R",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Orthopaedics and Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.