North Texas ENT & Allergy Center – Otolaryngology Physician, NPI 1548234636

North Texas ENT & Allergy Center is a healthcare provider. based in Denton, Texas. specializing in Otolaryngology Physician. The organization holds a License No. K6206 (TX). The NPI Number for North Texas ENT & Allergy Center is 1548234636

Main info

Organization
Name
North Texas ENT & Allergy Center
NPI
1548234636
Phone
(940) 891-6100
Address
1209 BENT OAKS CT
Authorized Official
DR. RUSSELL JON OTTO OWNER MD
Enumeration Date
15 February 2006
Last Update Date
12 October 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for North Texas ENT & Allergy Center

  • 1209, Bent Oaks Court, Denton, Denton County, Texas, 76210, United States

    DENTON, TX 762103300

    Phone: (940) 891-6100

    Fax: (940) 891-6110

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20051021000065OClinic/Group PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76210)

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Reviews

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Frequently asked questions

Is North Texas ENT & Allergy Center listed with a National Provider Identifier?
Yes — North Texas ENT & Allergy Center has NPI 1548234636 on file in the registry.
Would North Texas ENT & Allergy Center appear as active to a payer?
You can treat North Texas ENT & Allergy Center as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is North Texas ENT & Allergy Center?
North Texas ENT & Allergy Center is associated with Otolaryngology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for North Texas ENT & Allergy Center?
Travel planning: use Denton, Texas as the reference point for North Texas ENT & Allergy Center, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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