NPIMap

Organization Active NPI

Lake Pointe Orthopaedic Associates, PA

Doing business as Lake Pointe Orthopaedics & Sports Medicine

  • Orthopaedic Surgery Physician
  • Rockwall, TX
National Provider Identifier
1699980557
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
LAKE POINTE ORTHOPAEDIC ASSOCIATES, PA
Doing business as
Lake Pointe Orthopaedics & Sports Medicine
Practice address
3136 Horizon Rd
Suite 100
Rockwall, TX 75032-7807
Phone
(972) 475-8914
Fax
(972) 412-8601
NPI assigned
May 14, 2007
Last updated
May 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Authorized official

Name
Daniel J Aldrich, MDNPI 1043320542
Title
Managing Partner
Phone
(972) 475-8914

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X TX Primary

Addresses

Primary practice location

3136 Horizon Rd
Suite 100
Rockwall, TX 75032-7807

Mailing address

3136 Horizon Rd
Suite 100
Rockwall, TX 75032-7807
Phone (972) 475-8914

Other identifiers 3

IdentifierTypeStateIssuer
150906901MedicaidTX
0010BYOtherTXBCBS
0386880001OtherTXNSC

Other names 1

  • Lake Pointe Orthopaedics & Sports Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070815000047 TX Part B Supplier - Clinic/Group Practice 3072605468 Receives reassigned benefits from 7 practitioners
Practice locations: Rockwall, TX
O20100930001417 TX DME Supplier - Physician - Orthopedic/Orthopedic Surgery 3072605468 Practice locations: Rockwall, TX

National Provider Directory

National Provider Directory

Locations

1231 E Belt Line Rd
Richardson, TX 75081

3136 Horizon Rd
Ste 130
Rockwall, TX 75032

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1699980557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3136 HORIZON RD",
            "address_2": "SUITE 100",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327807",
            "telephone_number": "972-475-8914",
            "fax_number": "972-412-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3136 HORIZON RD",
            "address_2": "SUITE 100",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327807",
            "telephone_number": "972-475-8914",
            "fax_number": "972-412-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE POINTE ORTHOPAEDIC ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "ALDRICH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "972-475-8914",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150906901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0010BY",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC",
            "identifier": "0386880001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Pointe Orthopaedics & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.