Organization Active NPI

Dallas Otolaryngology Associates

  • Otolaryngology Physician
  • Dallas, TX
National Provider Identifier
1346444072
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
D8122 Issued in TX
Legal business name
DALLAS OTOLARYNGOLOGY ASSOCIATES
Practice address
7777 Forest LN Ste A103
Dallas, TX 75230-6800
Phone
(972) 566-7600
Fax
(972) 566-6560
NPI assigned
Jun 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Judy French
Title
Billing Collections
Phone
(972) 566-6684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X D8122 TX Primary

Addresses

Primary practice location

7777 Forest LN Ste A103
Dallas, TX 75230-6800

Mailing address

7777 Forest LN Ste A103
Dallas, TX 75230-6800
Phone (972) 566-7600

Other identifiers 5

IdentifierTypeStateIssuer
1740238690OtherTXDR. DANSBY NPI
121722601MedicaidTX
131896605MedicaidTX
1124076062OtherTXDR. PETERS NPI
133989704MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100816001007 TX Part B Supplier - Clinic/Group Practice 3072647890 Receives reassigned benefits from 21 practitioners
Practice locations: Dallas, TX; Fort Worth, TX; Frisco, TX

National Provider Directory

National Provider Directory

Locations

7777 Forest Ln
Ste A107
Dallas, TX 75230
Phone (972) 566-7359

3900 Junius St
Ste 240
Dallas, TX 75246
Phone (469) 803-5555

7777 Forest Ln
Ste A103
Dallas, TX 75230
Phone (972) 566-7359

3400 N Tarrant Pkwy
Ste 120
Fort Worth, TX 76177
Phone (469) 803-5555

Practitioners & affiliated clinicians

Practitioners 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346444072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE A103",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306800",
            "telephone_number": "972-566-7600",
            "fax_number": "972-566-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE A103",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306800",
            "telephone_number": "972-566-7600",
            "fax_number": "972-566-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS OTOLARYNGOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRENCH",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "BILLING COLLECTIONS",
        "authorized_official_telephone_number": "972-566-6684"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "D8122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. DANSBY NPI",
            "identifier": "1740238690",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121722601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131896605",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. PETERS NPI",
            "identifier": "1124076062",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133989704",
            "state": "TX"
        }
    ],
    "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 Aug 22, 2020; 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.