Lakeview ENT, PA

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

License

K0325 Issued in TX

Legal business name

LAKEVIEW ENT, PA

Practice address

6301 Gaston Ave
Dallas, TX 75214-3922

Phone

(806) 674-8261

Fax

(214) 691-8292

NPI assigned

Jan 9, 2014

Organization subpart

No

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

Authorized official

Name

Kyle Kennedy, M.D.

Title

President

Phone

(806) 674-8261

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8531/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1154743227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 181022",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752188022",
            "telephone_number": "806-674-8261",
            "fax_number": "214-691-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 GASTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752143922",
            "telephone_number": "806-674-8261",
            "fax_number": "214-691-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW ENT, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-09",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-674-8261",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "TX",
            "license": "K0325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakehill Preparatory School: Health and Wellness Center
• Lakeshia Kijuan Ealy
• Lakeshore Anesthesia Group, PLLC
• Lakeshore Healthcare Services, Inc.
• Lakeshore Medical Supplies, Inc.
• Lakeview Health Solutions, PLLC
• Lakeview Primary Homecare LLC
• Lakewood Anesthesia, PLLC
• Lakewood Dental Studio PLLC
• Lakewood Dermatology, PLLC

• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.