NPIMap

Organization Active NPI

Dallas ENT & Allergy Center P a

  • Otolaryngology Physician
  • Dallas, TX
National Provider Identifier
1073575080
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
LI686 Issued in TX
Legal business name
DALLAS ENT & ALLERGY CENTER P A
Practice address
1411 N Beckley Ave
Pav 3 Suite 363
Dallas, TX 75203-1259
Phone
(214) 946-3687
Fax
(214) 946-0687
NPI assigned
Apr 5, 2006
Last updated
Mar 30, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Authorized official

Name
Dr. Rajiv Tikoo Pandit, M.D.NPI 1356317655
Title
Physician/President
Phone
(214) 946-3687

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X LI686 TX Primary

Addresses

Primary practice location

1411 N Beckley Ave
Pav 3 Suite 363
Dallas, TX 75203-1259

Mailing address

1411 N Beckley Ave
Pav 3 Suite 363
Dallas, TX 75203-1259
Phone (214) 946-3687

Other names 1

  • Dallas ENT & Allergy Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040805001427 TX Part B Supplier - Clinic/Group Practice 9234100785 Receives reassigned benefits from 8 practitioners
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

1411 N Beckley Ave
Ste 363
Dallas, TX 75203
Phone (214) 438-5188

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1073575080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N BECKLEY AVE",
            "address_2": "PAV 3 SUITE 363",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031259",
            "telephone_number": "214-946-3687",
            "fax_number": "214-946-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N BECKLEY AVE",
            "address_2": "PAV 3 SUITE 363",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031259",
            "telephone_number": "214-946-3687",
            "fax_number": "214-946-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS ENT & ALLERGY CENTER P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "PANDIT",
        "authorized_official_first_name": "RAJIV",
        "authorized_official_middle_name": "TIKOO",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "214-946-3687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "LI686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dallas ENT & Allergy Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 30, 2017; 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.