Organization Active NPI

Ear Nose and Throat Consultants and Hearing Services PLC

  • Otolaryngology Physician
  • Dakota Dunes, SD
National Provider Identifier
1114141546
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
5111 Issued in SD
Legal business name
EAR NOSE AND THROAT CONSULTANTS AND HEARING SERVICES PLC
Practice address
101 Tower Rd
Suite 120
Dakota Dunes, SD 57049
Phone
(605) 217-4320
Fax
(605) 217-2948
NPI assigned
Apr 13, 2007
Last updated
Oct 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Authorized official

Name
Dr. Thomas J Kenny IV, M.D.NPI 1386694354
Title
President
Phone
(605) 217-4320

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 5111 SD Primary

Addresses

Primary practice location

101 Tower Rd
Suite 120
Dakota Dunes, SD 57049

Mailing address

101 Tower Rd
Suite 120
Dakota Dunes, SD 57049
Phone (605) 217-4320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, IA, NE3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20070703000009 SD Part B Supplier - Clinic/Group Practice 9335249457 Receives reassigned benefits from 17 practitioners
Practice locations: Dakota Dunes, SD
O20070703000011 IA Part B Supplier - Clinic/Group Practice 9335249457 Receives reassigned benefits from 13 practitioners
1 other NPI on this enrollment
Practice locations: Clive, IA; Sioux City, IA; Le Mars, IA
O20140221001623 NE Part B Supplier - Clinic/Group Practice 9335249457 Receives reassigned benefits from 3 practitioners
Practice locations: Wayne, NE

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Ear Nose and Throat Consultants and Hearing Services PLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12499 University Ave
Clive, IA 50325
Phone (515) 245-6425

1302 10th St
Rock Valley, IA 51247
Phone (712) 476-2749

2735 Outer Dr N
Sioux City, IA 51104
Phone (712) 224-5692

2916 Hamilton Blvd
Sioux City, IA 51104
Phone (712) 255-1621

4301 Sergeant Rd
Ste 215
Sioux City, IA 51106
Phone (605) 217-4320

3735 86th St
Urbandale, IA 50322
Phone (515) 270-8545

101 Tower Rd
Ste 110120
Dakota Dunes, SD 57049
Phone (605) 217-4330

101 Tower Rd
Ste 120210
Dakota Dunes, SD 57049
Phone (605) 217-4320

101 Tower Rd
Ste 210
Dakota Dunes, SD 57049
Phone (605) 217-4320

101 Tower Rd
Ste 120
North Sioux City, SD 57049
Phone (605) 217-4320

Practitioners & affiliated clinicians

Practitioners 41

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.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1114141546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TOWER RD",
            "address_2": "SUITE 120",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "57049",
            "telephone_number": "605-217-4320",
            "fax_number": "605-217-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TOWER RD",
            "address_2": "SUITE 120",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "57049",
            "telephone_number": "605-217-4320",
            "fax_number": "605-217-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR NOSE AND THROAT CONSULTANTS AND HEARING SERVICES PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "KENNY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-217-4320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "SD",
            "license": "5111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dakota Dunes, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.