NPIMap

Organization Active NPI

1St Allergy & Asthma

  • Pediatric Allergy/Immunology Physician
  • Thornton, CO
National Provider Identifier
1265432579
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Allergy/Immunology PhysicianTaxonomy code 2080P0201X
License
32130 Issued in CO
Legal business name
1ST ALLERGY & ASTHMA
Practice address
2136 E 104TH Ave
Suite C
Thornton, CO 80233-4313
Phone
(720) 929-8300
Fax
(720) 929-8444
NPI assigned
Jul 28, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Betty L Blacker, LPN
Title
Office Manager
Phone
(720) 929-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Allergy/Immunology Physician 2080P0201X 32130 CO Primary

Addresses

Primary practice location

2136 E 104TH Ave
Suite C
Thornton, CO 80233-4313

Mailing address

2136 E 104TH Ave
Suite C
Thornton, CO 80233-4313
Phone (720) 929-8300

Other identifiers 1

IdentifierTypeStateIssuer
01321306MedicaidCO

Other names 1

  • Horizon Pediatrics Other name

National Provider Directory

National Provider Directory
Tax ID family
1St Allergy Asthma Pedatri6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2136 E 104TH Ave
Ste C
Thornton, CO 80233
Phone (720) 929-8300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265432579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2136 E 104TH AVE",
            "address_2": "SUITE C",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802334313",
            "telephone_number": "720-929-8300",
            "fax_number": "720-929-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 E 104TH AVE",
            "address_2": "SUITE C",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802334313",
            "telephone_number": "720-929-8300",
            "fax_number": "720-929-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST ALLERGY & ASTHMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLACKER",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "720-929-8300",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "CO",
            "license": "32130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01321306",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon Pediatrics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.