Organization Active NPI

Davie Allergy and Asthma Clinic, PA

  • Allergy & Immunology (Internal Medicine) Physician
  • Advance, NC
National Provider Identifier
1003123381
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
2010-00510 Issued in NC
Legal business name
DAVIE ALLERGY AND ASTHMA CLINIC, PA
Practice address
108 Dornach Way
Suite 200
Advance, NC 27006-7305
Phone
(336) 998-3833
Fax
(336) 998-0908
NPI assigned
Sep 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Authorized official

Name
Dr. Richard Charles Herring, MD
Title
Shareholder
Phone
(336) 998-3833

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X 2010-00510 NC
Allergy & Immunology (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0201X 2010-00510 NC Primary

Addresses

Primary practice location

108 Dornach Way
Suite 200
Advance, NC 27006-7305

Mailing address

108 Dornach Way
Suite 200
Advance, NC 27006-7305
Phone (336) 998-3833

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1003123381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 DORNACH WAY",
            "address_2": "SUITE 200",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "270067305",
            "telephone_number": "336-998-3833",
            "fax_number": "336-998-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 DORNACH WAY",
            "address_2": "SUITE 200",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "270067305",
            "telephone_number": "336-998-3833",
            "fax_number": "336-998-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIE ALLERGY AND ASTHMA CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "HERRING",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "336-998-3833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "NC",
            "license": "2010-00510",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "NC",
            "license": "2010-00510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Advance, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.