Organization Active NPI

Amarillo Bone & Joint Clinic

  • Specialist
  • Amarillo, TX
National Provider Identifier
1710016894
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H7902 Issued in TX
Legal business name
AMARILLO BONE & JOINT CLINIC
Practice address
3501 S Soncy Rd Ste 129
Amarillo, TX 79119-6406
Phone
(806) 468-9700
Fax
(806) 468-9771
NPI assigned
Mar 5, 2007
Last updated
Apr 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Dr. Keith D Bjork, M.D.NPI 1679510135
Title
Owner
Phone
(806) 468-9700

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)CodeLicenseStatePrimary
Specialist 174400000X H7902 TX Primary

Addresses

Primary practice location

3501 S Soncy Rd Ste 129
Amarillo, TX 79119-6406

Mailing address

3501 S Soncy Rd Ste 129
Amarillo, TX 79119-6406
Phone (806) 468-9700

Other identifiers 2

IdentifierTypeStateIssuer
084277501MedicaidTX
85W810OtherTXBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1710016894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 S SONCY RD STE 129",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196406",
            "telephone_number": "806-468-9700",
            "fax_number": "806-468-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 S SONCY RD STE 129",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196406",
            "telephone_number": "806-468-9700",
            "fax_number": "806-468-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARILLO BONE & JOINT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "BJORK",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-468-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H7902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084277501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "85W810",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.