Active NPI
Davie Allergy and Asthma Clinic, PA
- Allergy & Immunology (Internal Medicine) Physician
- Advance, NC
National Provider Identifier
1003123381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology (Internal Medicine) Physician
- License
- 2010-00510
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 2010-00510 | NC | |
| Allergy & Immunology (Internal Medicine) Physician | 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 DirectoryNPI 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.