Organization Active NPI

Larry North Sports Medicine

  • Sports Physician Chiropractor
  • Dallas, TX
National Provider Identifier
1508058751
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
6832 Issued in TX
Legal business name
LARRY NORTH SPORTS MEDICINE
Practice address
4801 Spring Valley Rd
Suite 40
Dallas, TX 75244
Phone
(972) 488-9686
Fax
(972) 241-1936
NPI assigned
Aug 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Authorized official

Name
Paula Paredes
Title
Office Manager
Phone
(972) 488-9686

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X 6832 TX Primary
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X 10069 TX
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X 9801 TX
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT1126068 TX

Addresses

Primary practice location

4801 Spring Valley Rd
Suite 40
Dallas, TX 75244

Mailing address

PO Box 1731
Addison, TX 75001-1731
Phone (972) 488-9686

Other names 1

  • ADVANCED SPINE & SPORTS MEDICINE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advanced Spine Sports Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1508058751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1731",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750011731",
            "telephone_number": "972-488-9686",
            "fax_number": "972-241-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 SPRING VALLEY RD",
            "address_2": "SUITE 40",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75244",
            "telephone_number": "972-488-9686",
            "fax_number": "972-241-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY NORTH SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "PAREDES",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-488-9686"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "6832",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "10069",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "9801",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "PT1126068",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED SPINE & SPORTS MEDICINE",
            "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 Aug 13, 2007; 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.