Active NPI
Texas Institute of Orthopedic Surgery & Sports Medicine PLLC
- Orthopaedic Surgery Physician
- Grapevine, TX
National Provider Identifier
1356484638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- TEXAS INSTITUTE OF ORTHOPEDIC SURGERY & SPORTS MEDICINE PLLC
- Practice address
- 815 Ira E Woods Ave
Ste 100
Grapevine, TX 76051-4012 - Phone
- (817) 421-0505
- Fax
- (817) 421-6060
- NPI assigned
- Feb 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shannon Jordan
- Title
- Office Manager
- Phone
- (817) 421-0505
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
815 Ira E Woods Ave
Ste 100
Grapevine, TX 76051-4012
Mailing address
815 Ira E Woods Ave
Ste 100
Grapevine, TX 76051-4012
Phone (817) 421-0505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir4.healow.com/fhir/r4/FIDCCD
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Orthopaedic Surgery Physician
- Grapevine, TX
- NPI 1174541783
-
- Orthopaedic Surgery Physician
- Grapevine, TX
- NPI 1508891458
-
- Orthopaedic Surgery Physician
- Grapevine, TX
- NPI 1144282526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1397692800000",
"number": "1356484638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 IRA E WOODS AVE",
"address_2": "STE 100",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760514012",
"telephone_number": "817-421-0505",
"fax_number": "817-421-6060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 IRA E WOODS AVE",
"address_2": "STE 100",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760514012",
"telephone_number": "817-421-0505",
"fax_number": "817-421-6060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEXAS INSTITUTE OF ORTHOPEDIC SURGERY & SPORTS MEDICINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-15",
"last_updated": "2014-04-17",
"status": "A",
"authorized_official_last_name": "JORDAN",
"authorized_official_first_name": "SHANNON",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "817-421-0505"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grapevine, TX
- Terry M Robinson Jr LPT Inc. (Grapevine Physical Therapy & Sports Med)
- Texas Alpha Wellness Center, PC (Alpha Wellness Center)
- Texas Em-1 Medical Services, PA
- Texas Health Care, P.L.L.C.
- Texas Health Care, P.L.L.C.
- Texas Lung Care Associates PLLC
- Texas Premier Medicine
- Texas Rexes Enterprise LLC (FYZICAL Grapevine)
- Texas Sleep Apnea Solutions PLLC (Best Sleep Today)
- Texas Talent Services, LLC (Integrated Healthcare of Texas)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.