Organization Active NPI

Next Step Orthopedics, PLLC

  • Orthopaedic Surgery Physician
  • McKinney, TX
National Provider Identifier
1306142146
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
NEXT STEP ORTHOPEDICS, PLLC
Practice address
8865 Synergy Dr
101
McKinney, TX 75070-6506
Phone
(972) 547-0047
Fax
(972) 547-0065
NPI assigned
Jan 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Authorized official

Name
Dominique A Nickson, MDNPI 1548211634
Title
Owner
Phone
(972) 547-0047

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X Primary
Orthopaedic Foot and Ankle Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XX0004X

Addresses

Primary practice location

8865 Synergy Dr
101
McKinney, TX 75070-6506

Mailing address

8865 Synergy Dr Ste 101
McKinney, TX 75070-6522
Phone (972) 547-0047

Other identifiers 1

IdentifierTypeStateIssuer
6512550001OtherTXDME PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110518000551 TX DME Supplier - Physician - Orthopedic/Orthopedic Surgery 3375729890 Practice locations: McKinney, TX
O20110614000737 TX Part B Supplier - Clinic/Group Practice 3375729890 Receives reassigned benefits from 1 practitioner
Practice locations: McKinney, TX

National Provider Directory

National Provider Directory

Locations

6850 Tpc Dr
Ste 212
McKinney, TX 75070
Phone (214) 544-9887

8876 Synergy Dr
Ste 100
McKinney, TX 75070
Phone (972) 547-0047

8865 Synergy Dr
Ste 101
McKinney, TX 75070
Phone (972) 547-0047

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3019/brand/1/csg/1/fhir/r4

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": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1306142146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8865 SYNERGY DR STE 101",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750706522",
            "telephone_number": "972-547-0047",
            "fax_number": "972-547-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8865 SYNERGY DR",
            "address_2": "101",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750706506",
            "telephone_number": "972-547-0047",
            "fax_number": "972-547-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXT STEP ORTHOPEDICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "NICKSON",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-547-0047",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME PTAN",
            "identifier": "6512550001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.