Organization Active NPI

Walnut Hill ENT PLLC

  • Otolaryngology Physician
  • Dallas, TX
National Provider Identifier
1750144770
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
WALNUT HILL ENT PLLC
Practice address
8210 Walnut Hill LN
Building 1, Suite 408
Dallas, TX 75231-4405
Phone
(214) 647-1836
Fax
(214) 468-4000
NPI assigned
Feb 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Dr. Henri C Tannas, MDNPI 1326235789
Title
Initial Member
Phone
(214) 647-1836

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

8210 Walnut Hill LN
Building 1, Suite 408
Dallas, TX 75231-4405

Mailing address

8210 Walnut Hill LN
Building 1, Suite 408
Dallas, TX 75231-4405
Phone (214) 647-1836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240521003010 TX Part B Supplier - Clinic/Group Practice 3779925896 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1750144770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 WALNUT HILL LN",
            "address_2": "BUILDING 1, SUITE 408",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314405",
            "telephone_number": "214-647-1836",
            "fax_number": "214-468-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 WALNUT HILL LN",
            "address_2": "BUILDING 1, SUITE 408",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314405",
            "telephone_number": "214-647-1836",
            "fax_number": "214-468-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT HILL ENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "TANNAS",
        "authorized_official_first_name": "HENRI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "INITIAL MEMBER",
        "authorized_official_telephone_number": "214-647-1836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.