Active NPI
Capital City Orthopaedics PA
- Orthopaedic Surgery Physician
- Austin, TX
National Provider Identifier
1932308228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- L9638
- Legal business name
- CAPITAL CITY ORTHOPAEDICS PA
- Practice address
- 12201 Renfert Way Ste 370
Austin, TX 78758-5376 - Phone
- (512) 617-1989
- Fax
- (512) 617-2065
- NPI assigned
- Jul 16, 2007
- 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
- Mike Burris, MD
- Title
- President
- Phone
- (512) 617-1989
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | L9638 | TX | Primary |
Addresses
Primary practice location
12201 Renfert Way Ste 370
Austin, TX 78758-5376
Mailing address
12201 Renfert Way Ste 370
Austin, TX 78758-5376
Phone (512) 617-1989
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Austin, TX
- NPI 1003029828
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Cedar Rapids, IA
- NPI 1417150202
TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462492800000",
"number": "1932308228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12201 RENFERT WAY STE 370",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585376",
"telephone_number": "512-617-1989",
"fax_number": "512-617-2065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12201 RENFERT WAY STE 370",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585376",
"telephone_number": "512-617-1989",
"fax_number": "512-617-2065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPITAL CITY ORTHOPAEDICS PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-16",
"last_updated": "2016-05-06",
"status": "A",
"authorized_official_last_name": "BURRIS",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "512-617-1989",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "L9638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
- Capital Cardiothoracic Surgeons PA
- Capital Cardiovascular Consultants, PLLC
- Capital Chiropractic & Acupuncture PLLC
- Capital Chiropractic Center, P.C.
- Capital City Chiropractic LLC
- Capital City Smiles, PLLC
- Capital Dialysis of Texas
- Capital Dialysis of Texas
- Capital Dialysis of Texas LTD.
- Capital Eye Care PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; 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.