Individual provider Active NPI

Dylan Corey Lippert, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Dallas, TX
National Provider Identifier
1689990228
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
Q8286 Issued in TX
Practice address
411 N. Washington Ave., Ste 7000
Dallas, TX 75246
Phone
(214) 826-3681
Fax
(214) 826-7277
NPI assigned
Apr 7, 2010
Last updated
Nov 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 49956 AZ
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X Q8286 TX Primary

Addresses

Primary practice location

411 N. Washington Ave., Ste 7000
Dallas, TX 75246

Mailing address

411 N. Washington Ave., Ste 7000
Dallas, TX 75246
Phone (214) 826-3681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160825001545 TX Practitioner - OtolaryngologyPractitioner - Other (Physician) 1557594660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Nose and Throat Specialty Care PLLCGroup PAC ID 5193770873, 8 clinicians

Practice addresses (Care Compare)

411 N Washington Ave
Suite 7000
Dallas, TX 75246-1791
Phone (214) 826-3681

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.63 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux62
Melanoma (skin cancer) excision14
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ear, Nose & Throat Specialty Care, PLLC Otolaryngology CurrentSince Aug 15, 2016 Accepting new patients

Locations

411 N Washington Ave
Ste 6400
Dallas, TX 75246
Phone (214) 826-3681

411 N Washington Ave
Ste 7000
Dallas, TX 75246
Phone (214) 823-7090

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1689990228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 N. WASHINGTON AVE., STE 7000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75246",
            "telephone_number": "214-826-3681",
            "fax_number": "214-826-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N. WASHINGTON AVE., STE 7000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75246",
            "telephone_number": "214-826-3681",
            "fax_number": "214-826-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPERT",
        "first_name": "DYLAN",
        "middle_name": "COREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-07",
        "last_updated": "2023-11-30",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AZ",
            "license": "49956",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "TX",
            "license": "Q8286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.