North Dallas Ear, Nose, and Throat PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

NORTH DALLAS EAR, NOSE, AND THROAT PA

Practice address

2821 E President George Bush Hwy
Suite 509
Richardson, TX 75082-4266

Phone

(972) 480-8877

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Morris GottliebNPI 1083652317

Title

President

Phone

(972) 480-8877

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Morris Gottlieb, M.D.

  • Otolaryngology Physician
  • Richardson, TX
  • NPI 1083652317
  Medicare reassignment NPD Authorized official
• Charles Spencer Daily III, M.S., CCC-A

  • Audiologist
  • Richardson, TX
  • NPI 1457510331
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1609897727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25887",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731250887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 E PRESIDENT GEORGE BUSH HWY",
            "address_2": "SUITE 509",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824266",
            "telephone_number": "972-480-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH DALLAS EAR, NOSE, AND THROAT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "GOTTLIEB",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-480-8877"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0076LT",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DC1384",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1678864-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dwayne Mitchum Norris
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• North Dallas County Homecare LLC
• North Dallas Digestive Disease
• North Dallas Epilepsy, PLLC
• North Dallas Family Care PA
• North Dallas Imaging Providers, LLC
• North Dallas Physical Therapy Associates PC
• North Dallas Primary Care P.a

• Otolaryngology Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.