Active NPI
Precision Orthopedics & Sports Medicine
- Durable Medical Equipment & Medical Supplies
- Southlake, TX
National Provider Identifier
1477313757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PRECISION ORTHOPEDICS & SPORTS MEDICINE
- Practice address
- 245 W State Highway 114 Ste 300
Southlake, TX 76092-3640 - Phone
- (682) 477-4290
- NPI assigned
- Mar 21, 2024
- Organization subpart
- Yes
- Parent organization
- PRECISION ORTHOPEDICS AND SPORTS MEDICINE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melynn Fanning
- Title
- Office Manager
- Phone
- (972) 438-4636
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
245 W State Highway 114 Ste 300
Southlake, TX 76092-3640
Mailing address
2120 N Macarthur Blvd Ste 100
Irving, TX 75061-2260
Phone (972) 438-4636
Other names 1
- Irving Orthopedics & Sports Medicine
National Provider Directory
National Provider Directory- Tax ID family
- Irving Ortho Sports Med
- Part of
- Irving Ortho Sports Med
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Fort Worth, TX
- NPI 1881454163
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Orthopaedic Surgery Physician
- Irving, TX
- NPI 1538257621
Member Of
Locations
245 W State Highway 114
Ste 300
Southlake, TX 76092
Phone (682) 477-4290
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.
-
- Orthopaedic Surgery Physician
- Irving, TX
- NPI 1538257621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710979200000",
"number": "1477313757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 N MACARTHUR BLVD STE 100",
"city": "IRVING",
"state": "TX",
"postal_code": "750612260",
"telephone_number": "972-438-4636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 W STATE HIGHWAY 114 STE 300",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760923640",
"telephone_number": "682-477-4290"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRECISION ORTHOPEDICS & SPORTS MEDICINE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PRECISION ORTHOPEDICS AND SPORTS MEDICINE",
"enumeration_date": "2024-03-21",
"last_updated": "2024-03-21",
"certification_date": "2024-03-13",
"status": "A",
"authorized_official_last_name": "FANNING",
"authorized_official_first_name": "MELYNN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "972-438-4636"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Irving Orthopedics & Sports Medicine",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.