Active NPI
Orthopedic Associates of Dallas, LLP
- Orthopaedic Surgery Physician
- Frisco, TX
National Provider Identifier
1427262500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- ORTHOPEDIC ASSOCIATES OF DALLAS, LLP
- Practice address
- 9200 World Cup Way
Suite 201
Frisco, TX 75034-4945 - Phone
- (972) 712-2669
- Fax
- (214) 823-1644
- NPI assigned
- May 9, 2007
- Organization subpart
- Yes
- Parent organization
- ORTHOPEDIC ASSOCIATES OF DALLAS, LLP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracy Jackson
- Title
- Executive Director
- Phone
- (214) 823-7090
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Orthopaedic Hand Surgery Physician | 207XS0106X | |||
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | |||
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | |||
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | |||
| Orthopaedic Trauma Physician | 207XX0801X |
Addresses
Primary practice location
9200 World Cup Way
Suite 201
Frisco, TX 75034-4945
Mailing address
PO Box 650500
Dallas, TX 75265-0500
Phone (214) 369-8555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00K730 | Other | TX | BCBS |
| 083558901 | Medicaid | TX |
National Provider Directory
National Provider Directory- Tax ID family
- Orthopedic Associates O
- Part of
- Orthopedic Associates O
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Plano, TX
- NPI 1871860882
-
- Orthopaedic Surgery Physician
- Dallas, TX
- NPI 1902021223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334793600000",
"number": "1427262500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 650500",
"city": "DALLAS",
"state": "TX",
"postal_code": "752650500",
"telephone_number": "214-369-8555",
"fax_number": "214-369-2683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 WORLD CUP WAY",
"address_2": "SUITE 201",
"city": "FRISCO",
"state": "TX",
"postal_code": "750344945",
"telephone_number": "972-712-2669",
"fax_number": "214-823-1644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPEDIC ASSOCIATES OF DALLAS, LLP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ORTHOPEDIC ASSOCIATES OF DALLAS, LLP",
"enumeration_date": "2007-05-09",
"last_updated": "2012-04-19",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "TRACY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "214-823-7090"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00K730",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "083558901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.