NPIMap

Organization Active NPI

Metrocrest Orthopaedics & Sports Medicine

  • Specialist
  • Carrollton, TX
National Provider Identifier
1710030374
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
METROCREST ORTHOPAEDICS & SPORTS MEDICINE
Practice address
4780 N Josey LN
Carrollton, TX 75010-4615
Phone
(972) 492-1334
NPI assigned
Jan 18, 2007
Last updated
Feb 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Authorized official

Name
Tracy Dean
Title
Director of Patient Accounts
Phone
(972) 395-2289

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

4780 N Josey LN
Carrollton, TX 75010-4615

Mailing address

4780 N Josey LN
Carrollton, TX 75010-4615
Phone (972) 492-1334

National Provider Directory

National Provider Directory

Locations

9603 White Rock Trl
Dallas, TX 75238
Phone (214) 341-8770

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266537600000",
    "number": "1710030374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 N JOSEY LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104615",
            "telephone_number": "972-492-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 N JOSEY LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104615",
            "telephone_number": "972-492-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROCREST ORTHOPAEDICS & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2010-02-19",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT ACCOUNTS",
        "authorized_official_telephone_number": "972-395-2289"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.