Active NPI
Tracc, PA
- Trauma Surgery Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- Legal business name
- TRACC, PA
- Practice address
- 757 8TH Ave Ste 1
Fort Worth, TX 76104-2522 - Phone
- (817) 332-9957
- Fax
- (817) 336-3130
- NPI assigned
- May 16, 2006
- Last updated
- Aug 31, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David C Smith, M.D.
- Title
- President
- Phone
- (817) 332-9957
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Trauma Surgery Physician | 2086S0127X | Primary |
Addresses
Primary practice location
757 8TH Ave Ste 1
Fort Worth, TX 76104-2522
Mailing address
PO Box 1559
Granbury, TX 76048-8559
Phone (817) 332-9957
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079753201 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
757 8th Ave
Ste 1
Fort Worth, TX 76104
Phone (817) 332-9957
1325 Pennsylvania Ave
Ste 200
Ft Worth, TX 76104
Phone (817) 250-4235
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Trauma Surgery Physician
- Fort Worth, TX
- NPI 1093767865
-
- Trauma Surgery Physician
- Waco, TX
- NPI 1891747663
-
- Trauma Surgery Physician
- Fort Worth, TX
- NPI 1437101201
-
- Trauma Surgery Physician
- Fort Worth, TX
- NPI 1528010394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598832000000",
"number": "1619928223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1559",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760488559",
"telephone_number": "817-332-9957",
"fax_number": "817-336-3130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "757 8TH AVE STE 1",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042522",
"telephone_number": "817-332-9957",
"fax_number": "817-336-3130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRACC, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-16",
"last_updated": "2020-08-31",
"certification_date": "2020-08-31",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "817-332-9957",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2086S0127X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Trauma Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "079753201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
- Toye Healthcarerides (TOYE RideCare)
- Joseph Toye, OTR/L
- Kelly Jean Toye, SLP
- TPH Management LLC
- Ashley Anne Trabon, PA
- Tracy Kirk DDS, PLLC (Fossil Creek Family Dentistry)
- Tracy R. Morales, DDS PLLC (Everlasting Dentistry)
- Randall Scott Tracy, NP-C MSN CNOR RNFA
- Traditions Hospice of Bedford, LLC (Traditions Health)
- Jason Lyle Trahan, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.