Active NPI
Amy K. Mettman, M.D., P.a.
- Otolaryngology Physician
- Southlake, TX
National Provider Identifier
1386939262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- AMY K. METTMAN, M.D., P.A.
- Practice address
- 660 W Southlake Blvd Ste 100
Southlake, TX 76092-6070 - Phone
- (817) 416-9731
- NPI assigned
- Jun 18, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Amy K Mettman, M.D.
- Title
- President
- Phone
- (513) 300-0513
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
660 W Southlake Blvd Ste 100
Southlake, TX 76092-6070
Mailing address
660 W Southlake Blvd Ste 100
Southlake, TX 76092-6070
National Provider Directory
National Provider DirectoryLocations
660 W Southlake Blvd
Ste 100
Southlake, TX 76092
Phone (817) 416-9731
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Southlake, TX
- NPI 1043284128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308355200000",
"number": "1386939262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 W SOUTHLAKE BLVD STE 100",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 W SOUTHLAKE BLVD STE 100",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926070",
"telephone_number": "817-416-9731"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMY K. METTMAN, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-18",
"last_updated": "2011-06-18",
"status": "A",
"authorized_official_last_name": "METTMAN",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "513-300-0513",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.