Organization Active NPI

Ear Nose & Throat Care, PA

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Dallas, TX
National Provider Identifier
1013026228
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
H2880 Issued in TX
Legal business name
EAR NOSE & THROAT CARE, PA
Practice address
2448 W Illinois Ave
Dallas, TX 75233-1106
Phone
(214) 330-7028
Fax
(214) 330-8497
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Authorized official

Name
Lynda Visher-West, DO
Title
Physician/Secretary of PA
Phone
(214) 330-7028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0007X H2880 TX Primary

Addresses

Primary practice location

2448 W Illinois Ave
Dallas, TX 75233-1106

Mailing address

2448 W Illinois Ave
Dallas, TX 75233-1106
Phone (214) 330-7028

Other identifiers 1

IdentifierTypeStateIssuer
083275001MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Dallas

National Provider Directory

National Provider Directory

Locations

2909 S Hampton Rd
Ste E121
Dallas, TX 75224
Phone (214) 330-7028

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1013026228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 W ILLINOIS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752331106",
            "telephone_number": "214-330-7028",
            "fax_number": "214-330-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 W ILLINOIS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752331106",
            "telephone_number": "214-330-7028",
            "fax_number": "214-330-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR NOSE & THROAT CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "VISHER-WEST",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "PHYSICIAN/SECRETARY OF PA",
        "authorized_official_telephone_number": "214-330-7028",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "TX",
            "license": "H2880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083275001",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Dallas",
            "affiliation": "N",
            "address_1": "2448 W Illinois Ave",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752331106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.