NPIMap

Organization Active NPI

Wide Awake Surgery PLLC

Doing business as BetterWay Medical Group

  • Orthopaedic Surgery Physician
  • Richardson, TX
National Provider Identifier
1508589631
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
WIDE AWAKE SURGERY PLLC
Doing business as
BetterWay Medical Group
Practice address
1202 E Arapaho Rd Ste 122
Richardson, TX 75081-2400
Phone
(469) 250-4422
NPI assigned
Sep 23, 2022
Last updated
May 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Christopher J Brock
Title
Ceo
Phone
(972) 979-6222

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary
Orthopaedic Hand Surgery Physician 207XS0106X

Addresses

Primary practice location

1202 E Arapaho Rd Ste 122
Richardson, TX 75081-2400

Mailing address

1202 E Arapaho Rd Ste 122
Richardson, TX 75081-2400
Phone (469) 250-4422

Other names 1

  • BetterWay Medical Group Doing business as

National Provider Directory

National Provider Directory

Locations

963 State Highway 121
Ste 1150
Allen, TX 75013
Phone (469) 322-1400

251 E Lingleville Rd
Stephenville, TX 76401
Phone (254) 595-3698

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1508589631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 E ARAPAHO RD STE 122",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812400",
            "telephone_number": "469-250-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 E ARAPAHO RD STE 122",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812400",
            "telephone_number": "469-250-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIDE AWAKE SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-979-6222"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BetterWay Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.

Verify at the official NPI Registry.