NPIMap

Organization Active NPI

Las Colinas Orthopedic Surgery and Sports Medicine P.a.

  • Specialist
  • Irving, TX
National Provider Identifier
1568290484
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
LAS COLINAS ORTHOPEDIC SURGERY AND SPORTS MEDICINE P.A.
Practice address
400 W LBJ Fwy Ste 330
Irving, TX 75063-3717
Phone
(972) 556-2885
Fax
(972) 506-8733
NPI assigned
Jul 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
Chelesia Dredd
Title
Manager
Phone
(214) 347-7100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

400 W LBJ Fwy Ste 330
Irving, TX 75063-3717

Mailing address

400 W LBJ Fwy Ste 330
Irving, TX 75063-3717
Phone (972) 556-2885

Other names 1

  • All Star Orthopaedics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Las Colinas Orthopedic Surgery Sports Medicine PA6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1568290484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W LBJ FWY STE 330",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633717",
            "telephone_number": "972-556-2885",
            "fax_number": "972-506-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W LBJ FWY STE 330",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633717",
            "telephone_number": "972-556-2885",
            "fax_number": "972-506-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS COLINAS ORTHOPEDIC SURGERY AND SPORTS MEDICINE P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "DREDD",
        "authorized_official_first_name": "CHELESIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-347-7100"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Star Orthopaedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.