Central Park Ear Nose & Throat LLP Fort Worth

Key facts

NPI

1720437155

Entity type

Organization (NPI type 2)

Primary specialty

Otolaryngology Physician 207Y00000X

Legal business name

CENTRAL PARK EAR NOSE & THROAT LLP FORT WORTH

Practice address

800 8TH Ave Ste 618
Fort Worth, TX 76104-2605

Phone

(817) 335-6336

NPI assigned

Jun 7, 2016

Organization subpart

Yes

Parent organization (as reported)

CENTRAL PARK EAR NOSE & THROAT LLP

Authorized official

Name

Mrs. Grace Bermingham

Title

Administrative Services Manager

Phone

(817) 335-6336

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

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

• Central Park Ear Nose and Throat, LLP-Mansfield Otolaryngology Physician · Arlington, TX · NPI 1245603760
  NPD tax ID

National Provider Directory

Tax ID family

Central PRK Ear Nose and TH (2 organizations share this tax ID)

Part of

Central PRK Ear Nose and TH

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 7, 2016.

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1720437155",
    "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": "817-784-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 8TH AVE STE 618",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042605",
            "telephone_number": "817-335-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PARK EAR NOSE & THROAT LLP FORT WORTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL PARK EAR NOSE & THROAT LLP",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "BERMINGHAM",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "ADMINISTRATIVE SERVICES MANAGER",
        "authorized_official_telephone_number": "817-335-6336",
        "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": []
}

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