Individual provider Active NPI

Thomas A Cadenhead, MD

  • Otolaryngology Physician
  • Denton, TX
National Provider Identifier
1962426452
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
G8677 Issued in TX
Practice address
2210 San Jacinto Blvd Ste 2
Denton, TX 76205-7531
Phone
(940) 898-8569
Fax
(940) 898-7444
NPI assigned
Jul 27, 2006
Last updated
May 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X G8677 TX Primary

Addresses

Primary practice location

2210 San Jacinto Blvd Ste 2
Denton, TX 76205-7531

Mailing address

409 Central Park Dr
Arlington, TX 76014-2069
Phone (817) 261-9191

Other identifiers 1

IdentifierTypeStateIssuer
115093003MedicaidTX

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
I20090216000059 TX Practitioner - Otolaryngology 2567527161 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G8677TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Park Ear Nose and Throat LLP Otolaryngology CurrentSince Apr 12, 2023 Accepting new patients
Central Park Ear Nose and Throat, LLP Fort Worth Otolaryngology CurrentSince Apr 12, 2023 Accepting new patients

Locations

409 Central Park Dr
Arlington, TX 76014
Phone (817) 261-9191

2210 San Jacinto Blvd
Ste 2
Denton, TX 76205
Phone (817) 261-9191

3105 Colorado Blvd
Ste 101
Denton, TX 76210
Phone (940) 387-1700

Interoperability endpoints

  • Direct secure messaging: tcadenhead@tacmp-tx.direct.office.nextgen.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1962426452",
    "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": "817-784-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 SAN JACINTO BLVD STE 2",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762057531",
            "telephone_number": "940-898-8569",
            "fax_number": "940-898-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADENHEAD",
        "first_name": "THOMAS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "G8677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115093003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.