Active NPI
Pediatric Sports and Spine Associates
- Pediatric Orthopaedic Surgery Physician
- Grapevine, TX
National Provider Identifier
1912923376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- Legal business name
- PEDIATRIC SPORTS AND SPINE ASSOCIATES
- Practice address
- 2020 W State Highway 114
Suite 110
Grapevine, TX 76051-8649 - Phone
- (817) 310-0810
- Fax
- (817) 812-3525
- NPI assigned
- Jul 15, 2006
- Last updated
- Apr 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Scott Brown, M.D.
- Title
- President
- Phone
- (817) 310-0810
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | Primary |
Addresses
Primary practice location
2020 W State Highway 114
Suite 110
Grapevine, TX 76051-8649
Mailing address
2020 W State Highway 114
Suite 110
Grapevine, TX 76051-8649
Phone (817) 310-0810
National Provider Directory
National Provider Directory- Tax ID family
- Pediatric Sports and Spine Associates
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthopaedic Surgery Physician
- Frisco, TX
- NPI 1346680048
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Pediatric Orthopaedic Surgery Physician
- Grapevine, TX
- NPI 1982620415
-
- Physician Assistant
- Grapevine, TX
- NPI 1154661353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208131200000",
"number": "1912923376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 W STATE HIGHWAY 114",
"address_2": "SUITE 110",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760518649",
"telephone_number": "817-310-0810",
"fax_number": "817-812-3525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 W STATE HIGHWAY 114",
"address_2": "SUITE 110",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760518649",
"telephone_number": "817-310-0810",
"fax_number": "817-812-3525"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC SPORTS AND SPINE ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-15",
"last_updated": "2008-04-14",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "817-310-0810",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207XP3100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.