Organization Active NPI

Silver Spring ENT, LLC

  • Specialist
  • Silver Spring, MD
National Provider Identifier
1811364540
Registry record updated Aug 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0059928 Issued in MD
Legal business name
SILVER SPRING ENT, LLC
Practice address
11120 New Hampshire Ave
Suite 504
Silver Spring, MD 20904-2633
Phone
(301) 593-3200
Fax
(301) 593-3900
NPI assigned
Aug 28, 2015
Last updated
Aug 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2015

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

Authorized official

Name
Dr. Ernest Myers, M.D.NPI 1679507115
Title
Otolaryngologist
Phone
(301) 593-3200

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
Specialist 174400000X D0059928 MD Primary

Addresses

Primary practice location

11120 New Hampshire Ave
Suite 504
Silver Spring, MD 20904-2633

Mailing address

11120 New Hampshire Ave
Suite 504
Silver Spring, MD 20904-2633
Phone (301) 593-3200

Other identifiers 1

IdentifierTypeStateIssuer
525691700MedicaidDC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160825000766 DC Part B Supplier - Clinic/Group Practice 6002101367 Receives reassigned benefits from 1 practitioner
Practice locations: Silver Spring, MD

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440720000000",
    "number": "1811364540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 504",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042633",
            "telephone_number": "301-593-3200",
            "fax_number": "301-593-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 504",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042633",
            "telephone_number": "301-593-3200",
            "fax_number": "301-593-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER SPRING ENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "OTOLARYNGOLOGIST",
        "authorized_official_telephone_number": "301-593-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0059928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "525691700",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; 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.