Central Park Ear Nose and Throat LLP Dallas

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

CENTRAL PARK EAR NOSE AND THROAT LLP DALLAS

Practice address

3131 Turtle Creek Blvd
Suite 302
Dallas, TX 75219-5405

Phone

(972) 884-5606

Fax

(972) 884-5607

NPI assigned

Oct 24, 2011

Organization subpart

Yes

Parent organization

CENTRAL PARK EAR NOSE AND THROAT LLPAs reported in NPPES

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

Authorized official

Name

Mrs. Grace Bermingham

Title

Administrative Services Manager

Phone

(817) 261-9191

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Central Park Ear Nose and Throat LLP

  • Otolaryngology Physician
  • Arlington, TX
  • NPI 1033264635

  O20070228000635

  Same enrollment
• Central Park Ear Nose and Throat, LLP Fort Worth

  • Otolaryngology Physician
  • Arlington, TX
  • NPI 1528496734

  O20070228000635

  Same enrollment

Part of

Central PRK Ear Nose and TH

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Central Park Ear Nose and Throat LLP

  • Otolaryngology Physician
  • Arlington, TX
  • NPI 1033264635
  NPPES parent name

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1497031413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 CENTRAL PARK DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142069",
            "telephone_number": "817-261-9191",
            "fax_number": "817-784-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 TURTLE CREEK BLVD",
            "address_2": "SUITE 302",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752195405",
            "telephone_number": "972-884-5606",
            "fax_number": "972-884-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PARK EAR NOSE AND THROAT LLP DALLAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL PARK EAR NOSE AND THROAT LLP",
        "enumeration_date": "2011-10-24",
        "last_updated": "2015-04-15",
        "status": "A",
        "authorized_official_last_name": "BERMINGHAM",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "ADMINISTRATIVE SERVICES MANAGER",
        "authorized_official_telephone_number": "817-261-9191",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Expressway Optical Inc.
• Central Group Inc
• Central Laboratory Services, Inc.
• Central Medical Center PLLC
• Central Medical Solutions
• Centro de Mi Salud
• Centro de Mi Salud
• Centro de Mi Salud
• Centro de Mi Salud
• Centro de Mi Salud

• 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 Apr 15, 2015; 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.