NPIMap

Organization Active NPI

White Rock ENT PA

  • Otolaryngology Physician
  • Dallas, TX
National Provider Identifier
1144382094
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
WHITE ROCK ENT PA
Practice address
1130 Beachview St
Suite 240
Dallas, TX 75218-4624
Phone
(214) 324-0418
Fax
(214) 324-0693
NPI assigned
Dec 15, 2006
Last updated
Dec 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Authorized official

Name
Mr. Dwight Augustus Lee, M.D.NPI 1932191608
Title
Partner
Phone
(214) 324-0418

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X Primary
Pediatric Otolaryngology Physician 207YP0228X
Surgical Oncology Physician 2086X0206X
Sleep Medicine (Otolaryngology) Physician 207YS0012X

Addresses

Primary practice location

1130 Beachview St
Suite 240
Dallas, TX 75218-4624

Mailing address

1130 Beachview St
Suite 240
Dallas, TX 75218-4624
Phone (214) 324-0418

National Provider Directory

National Provider Directory

Locations

1130 Beachview St
Ste 240
Dallas, TX 75218
Phone (214) 324-0418

Practitioners & affiliated clinicians

Practitioners 6

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": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1144382094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 BEACHVIEW ST",
            "address_2": "SUITE 240",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752184624",
            "telephone_number": "214-324-0418",
            "fax_number": "214-324-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 BEACHVIEW ST",
            "address_2": "SUITE 240",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752184624",
            "telephone_number": "214-324-0418",
            "fax_number": "214-324-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE ROCK ENT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "AUGUSTUS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "214-324-0418",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YS0012X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Dec 5, 2011; 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.