Individual provider Active NPI

John Ramsey Tenny, MD

  • Orthopaedic Surgery Physician
  • Dallas, TX
National Provider Identifier
1548277924
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G0845 Issued in TX
Practice address
3503 W Wheatland Rd
Suite 100
Dallas, TX 75237-3461
Phone
(972) 283-8700
Fax
(972) 283-8704
NPI assigned
Aug 1, 2006
Last updated
Apr 29, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G0845 TX Primary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X G0845 TX
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X G0845 TX

Addresses

Primary practice location

3503 W Wheatland Rd
Suite 100
Dallas, TX 75237-3461

Mailing address

PO Box 1029
Red Oak, TX 75154-1029
Phone (972) 283-8700

Other identifiers 2

IdentifierTypeStateIssuer
00D43UOtherTXBLUE CROSS BLUE SHIELD
1143869-03MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041119000282 TX Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 3870557739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
University of Missouri, Columbia School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2700 W Pleasant Run Rd
Suite 210
Lancaster, TX 75146-1004
Phone (972) 283-8700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G0845TXMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Tenny, M.D., P.a. Orthopaedic Surgery CurrentSince Feb 17, 2004 Accepting new patients
Imed Physician Network, Inc. Orthopaedic Surgery Past Accepting new patients

Locations

3503 W Wheatland Rd
Ste 100
Dallas, TX 75237
Phone (469) 313-0040

2700 W Pleasant Run Rd
Ste 210
Lancaster, TX 75146
Phone (972) 230-8660

Interoperability endpoints

  • Direct secure messaging: john.tenny@ipn.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1548277924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1029",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751541029",
            "telephone_number": "972-283-8700",
            "fax_number": "972-283-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3503 W WHEATLAND RD",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373461",
            "telephone_number": "972-283-8700",
            "fax_number": "972-283-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNY",
        "first_name": "JOHN",
        "middle_name": "RAMSEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "G0845",
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "TX",
            "license": "G0845",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "G0845",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00D43U",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1143869-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.