Organization Active NPI

Entegrity Ear Nose & Throat Specialists PC

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Phoenix, AZ
National Provider Identifier
1467449298
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
Legal business name
ENTEGRITY EAR NOSE & THROAT SPECIALISTS PC
Practice address
11209 N Tatum Blvd
Suite 275
Phoenix, AZ 85028-3091
Phone
(602) 494-5090
Fax
(602) 494-5055
NPI assigned
Oct 6, 2005
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
Jeffrey J Dyer, M.D.
Title
President
Phone
(602) 494-5090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0007X Primary

Addresses

Primary practice location

11209 N Tatum Blvd
Suite 275
Phoenix, AZ 85028-3091

Mailing address

11209 N Tatum Blvd
Suite 275
Phoenix, AZ 85028-3091
Phone (602) 494-5090

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467449298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD",
            "address_2": "SUITE 275",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283091",
            "telephone_number": "602-494-5090",
            "fax_number": "602-494-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD",
            "address_2": "SUITE 275",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283091",
            "telephone_number": "602-494-5090",
            "fax_number": "602-494-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTEGRITY EAR NOSE & THROAT SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-494-5090",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.