NPIMap

Organization Active NPI

Ear, Nose & Throat Specialty Care, PLLC

Doing business as Ear, Nose & Throat Specialty Care

  • Otolaryngology/Facial Plastic Surgery Physician
  • Dallas, TX
National Provider Identifier
1912069766
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
Legal business name
EAR, NOSE & THROAT SPECIALTY CARE, PLLC
Doing business as
Ear, Nose & Throat Specialty Care
Practice address
411 N Washington Ave Ste 7000
Dallas, TX 75246-1791
Phone
(214) 826-3681
Fax
(214) 826-7277
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Authorized official

Name
Brandi Greenhaw
Title
Administrator
Phone
(214) 826-0501

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Y00000X
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207YX0905X Primary

Addresses

Primary practice location

411 N Washington Ave Ste 7000
Dallas, TX 75246-1791

Mailing address

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

Other names 1

  • Ear, Nose & Throat Specialty Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050315000882 TX Part B Supplier - Clinic/Group Practice 5193770873 Receives reassigned benefits from 9 practitioners
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 9

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": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1912069766",
    "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": "752461791",
            "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": "752461791",
            "telephone_number": "214-826-3681",
            "fax_number": "214-826-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR, NOSE & THROAT SPECIALTY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "GREENHAW",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-826-0501"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ear, Nose & Throat Specialty Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ear, Nose & Throat Specialty Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 13, 2025; 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.