Texas Knee & Sports Medicine Center, PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

F9619 Issued in TX

Legal business name

TEXAS KNEE & SPORTS MEDICINE CENTER, PA

Practice address

4323 N Josey Lane Suite 307
Carrollton, TX 75010-4630

Phone

(972) 394-0118

Fax

(972) 394-1058

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Leslie D Jennings, MDNPI 1356322606

Title

Owner President

Phone

(972) 394-0118

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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.

• Leslie D Jennings, MD

  • Orthopaedic Surgery Physician
  • Carrollton, TX
  • NPI 1356322606
  Medicare reassignment NPD Authorized official
• Brant R Davis, PT

  • Physical Therapist
  • Carrollton, TX
  • NPI 1578646253
  Medicare reassignment NPD

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1982730461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 N JOSEY LANE SUITE 307",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104630",
            "telephone_number": "972-394-0118",
            "fax_number": "972-394-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 N JOSEY LANE SUITE 307",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104630",
            "telephone_number": "972-394-0118",
            "fax_number": "972-394-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS KNEE & SPORTS MEDICINE CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "972-394-0118",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "F9619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Texas Complete Care, LLC
• Texas Em1- Medical Services, PA
• Texas Hematology / Oncology Center, P.a. (Patient's Comprehensive Cancer Center)
• Texas Hematology/Oncology Center, PA (Tx Hematology/Oncology Center-Carrollton Pharmacy)
• Texas Home Health Team LLC
• Texas Spine Consultants
• Texasendodonticsp.C.
• Texstar Physical Therapy Limited Partnership
• Texstar Physical Therapy Limited Partnership
• Caitlin My Dieu Thai, OTD, OTR/L

• Orthopaedic Surgery Physician in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.