Organization Active NPI

Structure Orthopaedics, PLLC

  • Orthopaedic Trauma Physician
  • Plano, TX
National Provider Identifier
1184922098
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
Legal business name
STRUCTURE ORTHOPAEDICS, PLLC
Practice address
7715 San Jacinto PL
Suite 100
Plano, TX 75024-3215
Phone
(214) 245-4424
Fax
(972) 618-4000
NPI assigned
Mar 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Authorized official

Name
Michael Blake Sanders, M.D.
Title
Medical Director
Phone
(214) 245-4424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0801X Primary

Addresses

Primary practice location

7715 San Jacinto PL
Suite 100
Plano, TX 75024-3215

Mailing address

7715 San Jacinto PL
Suite 100
Plano, TX 75024-3215
Phone (214) 245-4424

Other identifiers 3

IdentifierTypeStateIssuer
0041WMOtherTXBCBS
TXB128947OtherTXMEDICARE PTAN
281455001MedicaidTX

Other names 1

  • Orthopaedic Trauma Specialists, PLLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1184922098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7715 SAN JACINTO PL",
            "address_2": "SUITE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243215",
            "telephone_number": "214-245-4424",
            "fax_number": "972-618-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7715 SAN JACINTO PL",
            "address_2": "SUITE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243215",
            "telephone_number": "214-245-4424",
            "fax_number": "972-618-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRUCTURE ORTHOPAEDICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "214-245-4424",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0041WM",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TXB128947",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281455001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopaedic Trauma Specialists, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.