Denton Ortho-Surgical Services PLLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

DENTON ORTHO-SURGICAL SERVICES PLLC

Practice address

220 N Ridgeway Dr
Cleburne, TX 76033-4115

Phone

(817) 774-5004

NPI assigned

Mar 14, 2019

Organization subpart

No

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

Authorized official

Name

J. Mike While

Title

Manager

Phone

(817) 774-5004

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1689133191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8308",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773878308",
            "telephone_number": "281-820-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N RIDGEWAY DR",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760334115",
            "telephone_number": "817-774-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTON ORTHO-SURGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "WHILE",
        "authorized_official_first_name": "J. MIKE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-774-5004"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.