Organization Active NPI

John T. Gill, M.D., P.a.

Doing business as Dallas Sports Medicine Specialists

  • Orthopaedic Surgery Physician
  • Dallas, TX
National Provider Identifier
1508012238
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G3393 Issued in TX
Legal business name
JOHN T. GILL, M.D., P.A.
Doing business as
Dallas Sports Medicine Specialists
Practice address
8230 Walnut Hill LN
Suite 708
Dallas, TX 75231-4431
Phone
(214) 890-0906
Fax
(214) 890-0929
NPI assigned
Aug 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Mrs. Tammi Starnes
Title
Office Manager
Phone
(214) 890-0906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X G3393 TX Primary

Addresses

Primary practice location

8230 Walnut Hill LN
Suite 708
Dallas, TX 75231-4431

Mailing address

8230 Walnut Hill LN
Suite 708
Dallas, TX 75231-4431
Phone (214) 890-0906

Other names 1

  • Dallas Sports Medicine Specialists Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110419000578 TX Part B Supplier - Clinic/Group Practice 5193900017 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1508012238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8230 WALNUT HILL LN",
            "address_2": "SUITE 708",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314431",
            "telephone_number": "214-890-0906",
            "fax_number": "214-890-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 WALNUT HILL LN",
            "address_2": "SUITE 708",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314431",
            "telephone_number": "214-890-0906",
            "fax_number": "214-890-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN T. GILL, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-13",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "STARNES",
        "authorized_official_first_name": "TAMMI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "214-890-0906",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "G3393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dallas Sports Medicine Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.