Organization Active NPI

Orthopaedic Surgery and Sports Medicine of Texas, P.a.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Dallas, TX
National Provider Identifier
1972765832
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
L2500 Issued in TX
Legal business name
ORTHOPAEDIC SURGERY AND SPORTS MEDICINE OF TEXAS, P.A.
Practice address
8440 Walnut Hill LN Ste 250
Dallas, TX 75231-3815
Phone
(214) 265-5050
Fax
(214) 265-0523
NPI assigned
Jul 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Authorized official

Name
William Garner Newton, M.D.NPI 1821179227
Title
President
Phone
(214) 265-5050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XX0005X L2500 TX Primary

Addresses

Primary practice location

8440 Walnut Hill LN Ste 250
Dallas, TX 75231-3815

Mailing address

4129 Hanover St
Dallas, TX 75225-6745
Phone (214) 265-5050

Other practice location 1

17051 Dallas Pkwy Ste 420
Addison, TX 75001-7115
Phone (214) 265-5050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080804000461 TX Part B Supplier - Clinic/Group Practice 2264455377 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

17051 Dallas Pkwy
Ste 420
Addison, TX 75001
Phone (214) 265-5050

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1972765832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4129 HANOVER ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256745",
            "telephone_number": "214-265-5050",
            "fax_number": "214-265-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 WALNUT HILL LN STE 250",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313815",
            "telephone_number": "214-265-5050",
            "fax_number": "214-265-0523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17051 Dallas Pkwy Ste 420",
            "address_purpose": "LOCATION",
            "city": "Addison",
            "state": "TX",
            "postal_code": "750017115",
            "country_code": "US",
            "telephone_number": "214-265-5050",
            "fax_number": "214-265-0523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORTHOPAEDIC SURGERY AND SPORTS MEDICINE OF TEXAS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "GARNER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-265-5050",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "L2500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.