NPIMap

Organization Active NPI

Prism Orthopedic

  • Orthopaedic Surgery of the Spine Physician
  • Plano, TX
National Provider Identifier
1386037273
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
N7365 Issued in TX
Legal business name
PRISM ORTHOPEDIC
Practice address
7712 San Jacinto PL Ste 200
Plano, TX 75024-3212
Phone
(214) 378-4661
Fax
(888) 624-8659
NPI assigned
Mar 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Authorized official

Name
Miss Brandy Barrow
Title
Credential Coordinator
Phone
(214) 378-4661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X N7365 TX Primary

Addresses

Primary practice location

7712 San Jacinto PL Ste 200
Plano, TX 75024-3212

Mailing address

PO Box 674074
Dallas, TX 75267-4074
Phone (214) 396-3936

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1386037273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674074",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674074",
            "telephone_number": "214-396-3936",
            "fax_number": "888-624-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7712 SAN JACINTO PL STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243212",
            "telephone_number": "214-378-4661",
            "fax_number": "888-624-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISM ORTHOPEDIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "BARROW",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "CREDENTIAL COORDINATOR",
        "authorized_official_telephone_number": "214-378-4661",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "N7365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.