Organization Active NPI

Orthoone Sports Medicine & Orthopaedics, PLLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Arlington, TN
National Provider Identifier
1215431663
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
ORTHOONE SPORTS MEDICINE & ORTHOPAEDICS, PLLC
Doing business as
Orthoone Sports Medicine & Orthopaedics, PLLC
Practice address
11851 Will Harris Dr
Arlington, TN 38002
Phone
(901) 430-8265
Fax
(901) 414-1731
NPI assigned
Mar 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Authorized official

Name
Shanna Smith
Title
Director
Phone
(901) 853-1174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0005X Primary

Addresses

Primary practice location

11851 Will Harris Dr
Arlington, TN 38002

Mailing address

PO Box 1866
Collierville, TN 38027-1866
Phone (901) 430-8265

Other names 1

  • Orthoone Sports Medicine & Orthopaedics, PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130312000418 TN Part B Supplier - Clinic/Group Practice 3779738000 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Collierville, TN

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1215431663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1866",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380271866",
            "telephone_number": "901-430-8265",
            "fax_number": "901-414-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11851 WILL HARRIS DR",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "38002",
            "telephone_number": "901-430-8265",
            "fax_number": "901-414-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOONE SPORTS MEDICINE & ORTHOPAEDICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "901-853-1174"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthoone Sports Medicine & Orthopaedics, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orthoone Sports Medicine & Orthopaedics, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.