Organization Active NPI

White Rock Orthopedic Association

  • Orthopaedic Surgery Physician
  • Dallas, TX
National Provider Identifier
1508828146
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
WHITE ROCK ORTHOPEDIC ASSOCIATION
Practice address
10611 Garland Rd
Suite 110
Dallas, TX 75218-2666
Phone
(214) 660-0505
Fax
(214) 660-4484
NPI assigned
Apr 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Dr. Marc S. Goldman, M.D.NPI 1467415679
Title
President
Phone
(214) 660-0505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

10611 Garland Rd
Suite 110
Dallas, TX 75218-2666

Mailing address

10611 Garland Rd
Suite 110
Dallas, TX 75218-2666
Phone (214) 660-0505

Other identifiers 3

IdentifierTypeStateIssuer
5492190001OtherTXDME/PALMETTO
0046MSOtherTXBCBS
DD5388OtherTXRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

10611 Garland Rd
Ste 110
Dallas, TX 75218
Phone (214) 324-2881

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": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1508828146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10611 GARLAND RD",
            "address_2": "SUITE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182666",
            "telephone_number": "214-660-0505",
            "fax_number": "214-660-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10611 GARLAND RD",
            "address_2": "SUITE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182666",
            "telephone_number": "214-660-0505",
            "fax_number": "214-660-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE ROCK ORTHOPEDIC ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-660-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME/PALMETTO",
            "identifier": "5492190001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0046MS",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD5388",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 13, 2008; 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.