NPIMap

Organization Active NPI

Ortholonestar, PLLC

Doing business as WB Carrell Memorial Clinic

  • Orthopaedic Surgery Physician
  • Frisco, TX
National Provider Identifier
1275140899
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOLONESTAR, PLLC
Doing business as
WB Carrell Memorial Clinic
Practice address
3800 Gaylord Pkwy Ste 710
Frisco, TX 75034-9635
Phone
(214) 220-2468
Fax
(214) 397-1551
NPI assigned
Sep 28, 2020
Organization subpart
Yes
Parent organization
ORTHOLONESTAR, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Authorized official

Name
Jennifer Kinman
Title
Ceo
Phone
(512) 439-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

3800 Gaylord Pkwy Ste 710
Frisco, TX 75034-9635

Mailing address

9301 North Central Expy
Tower 1, Ste 500
Dallas, TX 75231
Phone (214) 220-2468

Other names 1

  • WB Carrell Memorial Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201120000624 TX DME Supplier - Physician - Orthopedic/Orthopedic Surgery 9931529062 Practice locations: Frisco, TX

National Provider Directory

National Provider Directory
Tax ID family
Ortholonestar PLLC53 organizations share this tax ID, including this one
Part of
Ortholonestar PLLC

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

9301 N Central Expy
Ste 500
Dallas, TX 75231

9301 N Central Expy
Ste 451
Dallas, TX 75231
Phone (214) 397-1570

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1275140899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 NORTH CENTRAL EXPY",
            "address_2": "TOWER 1, STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75231",
            "telephone_number": "214-220-2468",
            "fax_number": "214-397-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 GAYLORD PKWY STE 710",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349635",
            "telephone_number": "214-220-2468",
            "fax_number": "214-397-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOLONESTAR, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOLONESTAR, PLLC",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "KINMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-439-1000"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WB Carrell Memorial Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.