Captive Medical, PLLC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

CAPTIVE MEDICAL, PLLC

Practice address

649 NE Alsbury Blvd
Ste 105
Burleson, TX 76028-2660

Phone

(817) 426-1212

NPI assigned

Aug 11, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jason Christopher Tinley, M.D.

Title

Director

Phone

(817) 916-4685

Specialties & licenses 2

Addresses

Other names 1

• Captive Medical, PA Former legal business name

Locations

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

{
    "created_epoch": "1344643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1922355775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 NE ALSBURY BLVD",
            "address_2": "STE 105",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760282660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 NE ALSBURY BLVD",
            "address_2": "STE 105",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760282660",
            "telephone_number": "817-426-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPTIVE MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-11",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "TINLEY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-916-4685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Captive Medical, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Orthopaedic Surgery of the Spine Physician in Burleson, TX
• Providers in Burleson, TX by specialty
• Orthopaedic Surgery of the Spine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.