Organization Active NPI

Ortholonestar, PLLC

  • Orthopaedic Surgery Physician
  • Cedar Park, TX
National Provider Identifier
1417554353
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOLONESTAR, PLLC
Practice address
1401 Medical Pkwy Ste 109B
Cedar Park, TX 78613-5012
Phone
(512) 439-1000
Fax
(512) 439-1085
NPI assigned
Oct 5, 2020
Organization subpart
Yes
Parent organization
ORTHOLONESTAR, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Authorized official

Name
Jennifer Kinman
Title
Ceo
Phone
(512) 439-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

1401 Medical Pkwy Ste 109B
Cedar Park, TX 78613-5012

Mailing address

4700 Seton Center Pkwy Ste 200
Austin, TX 78759-4107
Phone (512) 439-1000

Other names 1

  • Texas Orthopedics, Sports & Rehabilitation Associates Doing business as

National Provider Directory

National Provider Directory
Part of
Ortholonestar PLLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

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": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1417554353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SETON CENTER PKWY STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594107",
            "telephone_number": "512-439-1000",
            "fax_number": "512-439-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MEDICAL PKWY STE 109B",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786135012",
            "telephone_number": "512-439-1000",
            "fax_number": "512-439-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOLONESTAR, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOLONESTAR, PLLC",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "KINMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-439-1000"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Orthopedics, Sports & Rehabilitation Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.