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NORTHPARK ORTHOPAEDICS, PA
NPI 1386862654
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Dallas, TX

Active since April 23, 2007
8220 WALNUT HILL LN, SUITE 608, DALLAS, TX 75231(214) 987-3434(214) 987-3799 Get Directions Write a Review

NPPES record last updated: October 29, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Northpark Orthopaedics, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHPARK ORTHOPAEDICS, PA (NPI 1386862654) is a healthcare organization registered as an orthopaedic surgery of the spine in Dallas, Texas and active in the NPI registry since April 2007. The organization lists Charles Jack Banta, Physician, as its authorized official.

NPPES Registry Identity

NPI1386862654
Entity TypeOrganization
Primary Taxonomy207XS0117X
Legal Business NameNORTHPARK ORTHOPAEDICS, PA
Location Address8220 WALNUT HILL LN, SUITE 608Dallas, TX 75231-4427
Mailing Address8220 Walnut Hill Ln, Suite 608Dallas, TX 75231-4427 · (214) 987-3434 · Fax (214) 987-3799
Phone(214) 987-3434
Fax(214) 987-3799
Organization SubpartNo
Authorized OfficialCharles Jack BantaPhysician · (214) 987-3434
Enumeration DateApril 23, 2007
Last NPPES UpdateOctober 29, 2007
✔ NPI 1386862654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License✔ Licensed in TX · J0438
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
8220 WALNUT HILL LN, Dallas, TX 75231
Open in Google Maps ↗

Other Identifiers 3

OtherCZ0012TX · Railroad Medicare
Medicare PIN00N46FTX
Medicare ID-Type Unspecified00N46FTX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northpark Orthopaedics, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Northpark Orthopaedics, PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Charles Banta Ii, MD
Orthopedic Surgery
NPI 1205848512
8220 WALNUT HILL LN STE 608
Dallas, TX 75231
(214) 987-3434
✔ PECOS0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northpark Orthopaedics, PA's NPI number?

The NPI number for Northpark Orthopaedics, PA is 1386862654. It was assigned to this organization in the NPPES registry on April 23, 2007.

Where is Northpark Orthopaedics, PA located?

Northpark Orthopaedics, PA is located at 8220 Walnut Hill Ln Suite 608, Dallas, TX 75231. The listed phone number is (214) 987-3434.

What is Northpark Orthopaedics, PA's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Northpark Orthopaedics, PA enrolled in Medicare?

Yes. Northpark Orthopaedics, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northpark Orthopaedics, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Northpark Orthopaedics, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northpark Orthopaedics, PA was last updated on October 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.