Organization Active NPI

John Paul II Back and Bone Health Center PLLC

  • Orthopaedic Surgery Physician
  • Sugar Land, TX
National Provider Identifier
1417235334
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G2479 Issued in TX
Legal business name
JOHN PAUL II BACK AND BONE HEALTH CENTER PLLC
Practice address
15200 Southwest Fwy Ste 285
Sugar Land, TX 77478-3866
Phone
(832) 344-7757
NPI assigned
Jul 26, 2011
Last updated
May 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Authorized official

Name
Dr. Cesar Augusto Sevilla, M.D.NPI 1720042633
Title
President
Phone
(832) 344-7757

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
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 11494 TX
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X G2479 TX Primary

Addresses

Primary practice location

15200 Southwest Fwy Ste 285
Sugar Land, TX 77478-3866

Mailing address

7119 Savannah Glen LN
Richmond, TX 77469-7347
Phone (832) 344-7757

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111005000798 TX Part B Supplier - Clinic/Group Practice 1355513888 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, TX; Bay City, TX

National Provider Directory

National Provider Directory

Locations

7324 Southwest Fwy
Ste 1423
Houston, TX 77074
Phone (409) 771-9227

1601 Main St
Ste 30
Richmond, TX 77469
Phone (832) 344-7757

1601 Main St
Ste 309
Richmond, TX 77469
Phone (281) 239-8686

15200 Southwest Fwy
Ste 285
Sugar Land, TX 77478
Phone (281) 565-1055

Practitioners & affiliated clinicians

Practitioners 2

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": "1311638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1417235334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7119 SAVANNAH GLEN LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774697347",
            "telephone_number": "832-344-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 SOUTHWEST FWY STE 285",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783866",
            "telephone_number": "832-344-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN PAUL II BACK AND BONE HEALTH CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-26",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "SEVILLA",
        "authorized_official_first_name": "CESAR",
        "authorized_official_middle_name": "AUGUSTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-344-7757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11494",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "G2479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.