NPIMap

Organization Active NPI

Las Colinas Orthopedic Surgery & Sports Medicine P.a.

  • Durable Medical Equipment & Medical Supplies
  • Fort Worth, TX
National Provider Identifier
1942905922
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LAS COLINAS ORTHOPEDIC SURGERY & SPORTS MEDICINE P.A.
Practice address
3124 N Tarrant Pkwy Ste 200
Fort Worth, TX 76177-8618
Phone
(972) 556-2885
NPI assigned
Mar 31, 2023
Organization subpart
Yes
Parent organization
LAS COLINAS ORTHOPEDIC SURGERY & SPORTS MEDICINE P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Authorized official

Name
Dhara Thakkar
Title
Office Manager
Phone
(972) 637-8960

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3124 N Tarrant Pkwy Ste 200
Fort Worth, TX 76177-8618

Mailing address

400 W LBJ Fwy Ste 330
Irving, TX 75063-3717
Phone (972) 556-2885

Other practice location 1

910 E Southlake Blvd Ste 155
Southlake, TX 76092-6389
Phone (817) 421-5000

Other practice location 2

4951 Long Prairie Rd Ste 100
Flower Mound, TX 75028-2709
Phone (972) 556-2885

Other practice location 3

400 W Lbj Fwy Ste 330
Irving, TX 75063-3717
Phone (972) 556-2885

Other names 1

  • All Star Orthopaedics & Sports Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230815002224 TX DME Supplier - Physician - Orthopedic/Orthopedic Surgery 0547286304 Practice locations: Fort Worth, TX

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Las Colinas Orthopedic Surgery Sports Medicine PA6 organizations share this tax ID, including this one
Part of
Las Colinas Orthopedic Surgery Sports Medicine PA

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1942905922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W LBJ FWY STE 330",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633717",
            "telephone_number": "972-556-2885",
            "fax_number": "972-506-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 N TARRANT PKWY STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761778618",
            "telephone_number": "972-556-2885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 E Southlake Blvd Ste 155",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760926389",
            "country_code": "US",
            "telephone_number": "817-421-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4951 Long Prairie Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Flower Mound",
            "state": "TX",
            "postal_code": "750282709",
            "country_code": "US",
            "telephone_number": "972-556-2885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 W Lbj Fwy Ste 330",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750633717",
            "country_code": "US",
            "telephone_number": "972-556-2885",
            "fax_number": "972-506-8733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAS COLINAS ORTHOPEDIC SURGERY & SPORTS MEDICINE P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAS COLINAS ORTHOPEDIC SURGERY & SPORTS MEDICINE P.A.",
        "enumeration_date": "2023-03-31",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "THAKKAR",
        "authorized_official_first_name": "DHARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-637-8960"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Star Orthopaedics & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "All Star Orthopaedics & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.

Verify at the official NPI Registry.