Organization Active NPI

Sports, Physicians, Orthopedics, and Rehabilitation of Texas

  • Orthopaedic Surgery Physician
  • Dallas, TX
National Provider Identifier
1669921433
Registry record updated Nov 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SPORTS, PHYSICIANS, ORTHOPEDICS, AND REHABILITATION OF TEXAS
Practice address
19200 Preston Rd
Ste 120
Dallas, TX 75252-2450
Phone
(469) 200-2832
Fax
(469) 269-1074
NPI assigned
Sep 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2017

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

Authorized official

Name
Mrs. Charlene Ann Cherrix
Title
Credentialling
Phone
(469) 850-0203

Specialties & licenses 1

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

Addresses

Primary practice location

19200 Preston Rd
Ste 120
Dallas, TX 75252-2450

Mailing address

19200 Preston Rd
Ste 120
Dallas, TX 75252-2450
Phone (469) 200-2832

National Provider Directory

National Provider Directory

Locations

19200 Preston Rd
Ste 120
Dallas, TX 75252
Phone (469) 850-0201

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": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510876800000",
    "number": "1669921433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19200 PRESTON RD",
            "address_2": "STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752522450",
            "telephone_number": "469-200-2832",
            "fax_number": "469-269-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19200 PRESTON RD",
            "address_2": "STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752522450",
            "telephone_number": "469-200-2832",
            "fax_number": "469-269-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS, PHYSICIANS, ORTHOPEDICS, AND REHABILITATION OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2017-11-17",
        "status": "A",
        "authorized_official_last_name": "CHERRIX",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CREDENTIALLING",
        "authorized_official_telephone_number": "469-850-0203",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 17, 2017; 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.