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PREMIER ORTHOPEDICS OF FORT WORTH, PA
NPI 1851652457
Orthopaedic Surgery - Sports Medicine in Fort Worth, TX

Active since May 31, 2012CLIA 45D2095625 · Waiver
6930 HARRIS PKWY STE 130, FORT WORTH, TX 76132(817) 632-0020(817) 632-0022 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premier Orthopedics Of Fort Worth, Pa NPPES

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

PREMIER ORTHOPEDICS OF FORT WORTH, PA (NPI 1851652457), doing business as Kraig R Pepper Do Pa, is a healthcare organization registered as a sports medicine in Fort Worth, Texas and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through May 7, 2027 and lists Sonja Manning, Medical Office Support, as its authorized official.

NPPES Registry Identity

NPI1851652457
Entity TypeOrganization
Primary Taxonomy207XX0005X
Legal Business NamePREMIER ORTHOPEDICS OF FORT WORTH, PA
Location Address6930 HARRIS PKWY STE 130Fort Worth, TX 76132-4272
Mailing Address6930 Harris Parkway, Suite 130Fort Worth, TX 76132 · (817) 632-0020 · Fax (817) 632-0022
Phone(817) 632-0020
Fax(817) 632-0022
Organization SubpartNo
Authorized OfficialSonja ManningMedical Office Support · (817) 632-0020
Enumeration DateMay 31, 2012
Last NPPES UpdateMay 28, 2024
NPPES CertifiedMay 28, 2024
✔ NPI 1851652457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
6930 HARRIS PKWY STE 130, Fort Worth, TX 76132
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Other Names 2

Former Legal Business NameKraig R Pepper Do Pa
Former Legal Business NameKraig R. Pepper, D.o., P.a.

Other Identifiers 2

Medicaid203808502TX
Medicaid308841101TX

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2095625

Premier Orthopedics · Fort Worth, TX
Active · expires May 7, 2027
CLIA Number45D2095625
Laboratory TypePhysician Office
Certificate Effective DateMay 8, 2025
Certificate Expiration DateMay 7, 2027
Laboratory DirectorKraig R. Pepper
Laboratory Phone(817) 632-0020
Laboratory LocationPremier Orthopedics6930 Harris Pkwy Suite 130, Fort Worth, TX 76132
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ROBERT MARTIN PA-C
Physician Assistant
6930 HARRIS PKWY STE 130
FORT WORTH, TX 76132
Tarrant County (817) 632-0020
DR. KRAIG ROBERT PEPPER DO PA
Orthopaedic Surgery (Sports Medicine)
6930 HARRIS PKWY STE 130
FORT WORTH, TX 76132
Tarrant County (817) 632-0020
CLAVW
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
6930 HARRIS PKWY STE 130
FORT WORTH, TX 76132
Tarrant County (214) 865-6310

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 Premier Orthopedics Of Fort Worth, PA's NPI number?

The NPI number for Premier Orthopedics Of Fort Worth, PA is 1851652457. It was assigned to this organization in the NPPES registry on May 31, 2012. The provider was formerly known as Kraig R Pepper Do PA and Kraig R. Pepper, D.O., P.A..

Where is Premier Orthopedics Of Fort Worth, PA located?

Premier Orthopedics Of Fort Worth, PA is located at 6930 Harris Pkwy Ste 130, Fort Worth, TX 76132. The listed phone number is (817) 632-0020.

What is Premier Orthopedics Of Fort Worth, PA's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Does Premier Orthopedics Of Fort Worth, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2095625) is associated with this NPI, valid through May 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premier Orthopedics Of Fort Worth, PA accept?

Health plans from Molina Healthcare list Premier Orthopedics Of Fort Worth, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Premier Orthopedics Of Fort Worth, PA was last updated on May 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.