Organization Active NPI

Arizona Desert Ear Nose & Throat Specialist, PLLC

  • Otolaryngology Physician
  • Goodyear, AZ
National Provider Identifier
1124674288
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
ARIZONA DESERT EAR NOSE & THROAT SPECIALIST, PLLC
Practice address
1355 N Litchfield Road
Suite 135
Goodyear, AZ 85395
Phone
(623) 512-4199
Fax
(623) 512-4176
NPI assigned
Aug 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
Daniel D CharousNPI 1326017336
Title
Physician Owner
Phone
(623) 512-4199

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 Primary

Addresses

Primary practice location

1355 N Litchfield Road
Suite 135
Goodyear, AZ 85395

Mailing address

1355 N Litchfield Road
Suite 135
Goodyear, AZ 85395
Phone (623) 512-4199

Other practice location 1

2111 E Highland Ave Ste 431B
Phoenix, AZ 85016-4735
Phone (623) 512-4199

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201106002550 AZ Part B Supplier - Clinic/Group Practice 5890105530 Receives reassigned benefits from 7 practitioners
Practice locations: Goodyear, AZ; Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

1355 N Litchfield Rd
Goodyear, AZ 85395
Phone (623) 848-5700

1355 N Litchfield Rd
Ste 135
Goodyear, AZ 85395
Phone (623) 512-4199

2111 E Highland Ave
Ste B431
Phoenix, AZ 85016

2111 E Highland Ave
Ste 431
Phoenix, AZ 85016

2111 E Highland Ave
Ste 431B
Phoenix, AZ 85016
Phone (623) 512-4162

2111 E Highland Ave
Phoenix, AZ 85016
Phone (520) 333-7334

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1124674288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 N LITCHFIELD ROAD",
            "address_2": "SUITE 135",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85395",
            "telephone_number": "623-512-4199",
            "fax_number": "623-512-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 N LITCHFIELD ROAD",
            "address_2": "SUITE 135",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85395",
            "telephone_number": "623-512-4199",
            "fax_number": "623-512-4176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2111 E Highland Ave Ste 431B",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850164735",
            "country_code": "US",
            "telephone_number": "623-512-4199",
            "fax_number": "623-512-4176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARIZONA DESERT EAR NOSE & THROAT SPECIALIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "CHAROUS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "623-512-4199"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.