Breathe ENT

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

BREATHE ENT

Practice address

1401 Medical Pkwy Ste 407
Cedar Park, TX 78613-5015

Phone

(512) 879-1461

Fax

(512) 879-1462

NPI assigned

Oct 28, 2021

Last updated

Feb 17, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emily King

Title

Office Manager

Phone

(512) 879-1461

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

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.

• Kathryn Matzdorf, AUD

  • Audiologist
  • Austin, TX
  • NPI 1922848845
  Medicare reassignment Care Compare group NPD
• Kevin Taheri, M.D.

  • Otolaryngology Physician
  • Cedar Park, TX
  • NPI 1174840565
  Medicare reassignment Care Compare group NPD
• Aaron Bradon Ball, PA-C

  • Physician Assistant
  • Cedar Park, TX
  • NPI 1770072514
  Medicare reassignment Care Compare group
• Sonia Anna Penaroza, AU.D.

  • Audiologist
  • Lakeway, TX
  • NPI 1043825888
  Medicare reassignment NPD

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1114681814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MEDICAL PKWY STE 407",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786135015",
            "telephone_number": "512-879-1461",
            "fax_number": "512-879-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MEDICAL PKWY STE 407",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786135015",
            "telephone_number": "512-879-1461",
            "fax_number": "512-879-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATHE ENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-28",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "512-879-1461"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gushyalatha Boya, MD
• Michelle Arkeyla Bozemon, LPN
• Brain and Body Physical Therapy PC
• John William Branch, M.D.
• Vanessa K Brandt, M.A., LPC, LCDC-I
• Hope Elena Brents
• Tallulah Rachel Breslin, SLP
• Brian S. Earthman MD PA
• Kayla Briggs, BCBA
• Bright Light ABA PLLC

• Otolaryngology Physician in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.