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

Active since April 23, 2007CLIA 45D2205700 · Waiver
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: July 19, 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 holds a CLIA Waiver certificate valid through December 14, 2026 and 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
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

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

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2205700
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
December 15, 2024
Certificate Expiration Date
December 14, 2026
Laboratory Director
DAVID AZOUZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Northpark Orthopaedics, Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Surgery (Plastic and Reconstructive Surgery)
8220 WALNUT HILL LN, SUITE 108
DALLAS, TX 75231
Plastic Surgery
8220 WALNUT HILL LN, SUITE 206
DALLAS, TX 75231
Specialist
8220 WALNUT HILL LN, SUITE 206
DALLAS, TX 75231
Specialist
8220 WALNUT HILL LN, SUITE 206
DALLAS, TX 75231
Internal Medicine (Hematology & Oncology)
8220 WALNUT HILL LN, SUITE 700
DALLAS, TX 75231
Orthopaedic Surgery
8220 WALNUT HILL LN, SUITE 300
DALLAS, TX 75231
Internal Medicine (Gastroenterology)
8220 WALNUT HILL LN, SUITE 214 LB 101
DALLAS, TX 75231
Physical Medicine & Rehabilitation
8220 WALNUT HILL LN, STE 508
DALLAS, TX 75231
Internal Medicine
8220 WALNUT HILL LN, SUITE 110
DALLAS, TX 75231
Allergy & Immunology (Allergy)
8220 WALNUT HILL LN, SUITE 101
DALLAS, TX 75231
Internal Medicine
8220 WALNUT HILL LN, 110
DALLAS, TX 75231
Internal Medicine (Pulmonary Disease)
8220 WALNUT HILL LN, SUITE 408
DALLAS, TX 75231
Internal Medicine (Hematology & Oncology)
8220 WALNUT HILL LN, SUITE 700, PROFESSIONAL BUILDING II
DALLAS, TX 75231
Internal Medicine (Medical Oncology)
8220 WALNUT HILL LN
DALLAS, TX 75231
Internal Medicine (Medical Oncology)
8220 WALNUT HILL LN, PROFESSIONAL BLDG II, SUITE 700
DALLAS, TX 75231
Orthopaedic Surgery
8220 WALNUT HILL LN, SUITE 310
DALLAS, TX 75231
Specialist
8220 WALNUT HILL LN, SUITE 202 LOCK BOX 98
DALLAS, TX 75231
Specialist
8220 WALNUT HILL LN, SUITE 404
DALLAS, TX 75231
Physician Assistant (Surgical)
8220 WALNUT HILL LN, SUITE 310
DALLAS, TX 75231
Physician Assistant
8220 WALNUT HILL LN, SUITE 214 LB101
DALLAS, TX 75231

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386862654, enumerated as an "organization" on April 23, 2007.

The provider is located at 8220 WALNUT HILL LN SUITE 608 DALLAS, TX 75231 and the phone number is (214) 987-3434.

Orthopaedic Surgery with taxonomy code 207XS0117X and a focus in Orthopaedic Surgery of the Spine.

The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.