Dallas Ear, Nose & Throat Center PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

H1440 Issued in TX

Legal business name

DALLAS EAR, NOSE & THROAT CENTER PA

Practice address

9301 N Central Expy
Suite 560
Dallas, TX 75231-0806

Phone

(214) 821-1809

Fax

(214) 827-9037

NPI assigned

Oct 10, 2007

Last updated

Dec 27, 2012By 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

Mark A Hardin, M.D.

Title

Doctor

Phone

(214) 821-1809

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5576/brand/1/csg/1/fhir/r4

Practitioners 2

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.

• Gloria L Buckley, AU.D., CCC-A

  • Audiologist
  • Dallas, TX
  • NPI 1528184983
  NPD (past)
• Michael B Kronenberger, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Dallas, TX
  • NPI 1790782712
  NPD (past)

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1144418690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY",
            "address_2": "SUITE 560",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310806",
            "telephone_number": "214-821-1809",
            "fax_number": "214-827-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY",
            "address_2": "SUITE 560",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310806",
            "telephone_number": "214-821-1809",
            "fax_number": "214-827-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS EAR, NOSE & THROAT CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "214-821-1809",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "H1440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0011DU",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080401501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.