Organization Active NPI

The Family-Centered Ear, Nose, Throat Group

  • Otolaryngic Allergy Physician
  • Morgan Hill, CA
National Provider Identifier
1508916651
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X
License
A40654 Issued in CA
Legal business name
THE FAMILY-CENTERED EAR, NOSE, THROAT GROUP
Practice address
18181 Butterfield Blvd Ste 180
Morgan Hill, CA 95037-8112
Phone
(408) 847-1199
Fax
(408) 847-3609
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Authorized official

Name
Dr. Donald W Burt Jr.
Title
President
Phone
(408) 847-1199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngic Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0602X A40654 CA Primary

Addresses

Primary practice location

18181 Butterfield Blvd Ste 180
Morgan Hill, CA 95037-8112

Mailing address

18181 Butterfield Blvd Ste 180
Morgan Hill, CA 95037-8112
Phone (408) 847-1199

Other identifiers 1

IdentifierTypeStateIssuer
A406545MedicaidCA

National Provider Directory

National Provider Directory

Locations

9360 No Name Uno
Ste 120
Gilroy, CA 95020
Phone (408) 847-1199

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555286400000",
    "number": "1508916651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18181 BUTTERFIELD BLVD STE 180",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950378112",
            "telephone_number": "408-847-1199",
            "fax_number": "408-847-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 BUTTERFIELD BLVD STE 180",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950378112",
            "telephone_number": "408-847-1199",
            "fax_number": "408-847-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAMILY-CENTERED EAR, NOSE, THROAT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2019-04-15",
        "status": "A",
        "authorized_official_last_name": "BURT",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-847-1199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "CA",
            "license": "A40654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A406545",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.