Organization Active NPI

Orthopedic Institute of North Texas PA

  • Orthopaedic Surgery Physician
  • Sherman, TX
National Provider Identifier
1275379836
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPEDIC INSTITUTE OF NORTH TEXAS PA
Practice address
204 Medical Dr Ste 100
Sherman, TX 75092-6372
Phone
(972) 591-6468
Fax
(972) 294-3343
NPI assigned
Jul 3, 2024
Last updated
Aug 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Authorized official

Name
Justin Kane, MDNPI 1245466440
Title
Owner
Phone
(972) 591-6468

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X
Orthopaedic Foot and Ankle Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0004X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

204 Medical Dr Ste 100
Sherman, TX 75092-6372

Mailing address

PO Box 207674
Dallas, TX 75320-7674
Phone (972) 591-6468

Other practice location 1

2560 Central Park Ave Ste 395
Flower Mound, TX 75028-1566
Phone (972) 591-6468

Other practice location 2

5575 Warren Pkwy Ste 100
Frisco, TX 75034-4062
Phone (972) 594-6468

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190122001575 TX Part B Supplier - Clinic/Group Practice 4789921263 Receives reassigned benefits from 9 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dallas, TX; McKinney, TX; Frisco, TX; Flower Mound, TX

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory

Locations

5575 Warren Pkwy
Ste 100
Frisco, TX 75034
Phone (972) 594-6468

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1275379836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207674",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207674",
            "telephone_number": "972-591-6468",
            "fax_number": "972-294-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MEDICAL DR STE 100",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750926372",
            "telephone_number": "972-591-6468",
            "fax_number": "972-294-3343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2560 Central Park Ave Ste 395",
            "address_purpose": "LOCATION",
            "city": "Flower Mound",
            "state": "TX",
            "postal_code": "750281566",
            "country_code": "US",
            "telephone_number": "972-591-6468",
            "fax_number": "972-294-3343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5575 Warren Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750344062",
            "country_code": "US",
            "telephone_number": "972-594-6468",
            "fax_number": "972-591-6468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORTHOPEDIC INSTITUTE OF NORTH TEXAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-591-6468",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.