NPIMap

Organization Active NPI

Dallas Allergy and Asthma Center

  • Allergy Physician
  • Dallas, TX
National Provider Identifier
1285701102
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
D6588, G6386 Issued in TX
Legal business name
DALLAS ALLERGY AND ASTHMA CENTER
Practice address
5499 Glen Lakes Dr
#100
Dallas, TX 75231
Phone
(214) 691-1330
Fax
(214) 691-6405
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Authorized official

Name
Yvette Cordova
Title
Practice Manager
Phone
(214) 691-1330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X D6588, G6386 TX Primary

Addresses

Primary practice location

5499 Glen Lakes Dr
#100
Dallas, TX 75231

Mailing address

5499 Glen Lakes Dr
#100
Dallas, TX 75231
Phone (214) 691-1330

National Provider Directory

National Provider Directory

Locations

5499 Glen Lakes Dr
Ste 100
Dallas, TX 75231
Phone (214) 691-1330

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1285701102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5499 GLEN LAKES DR",
            "address_2": "#100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75231",
            "telephone_number": "214-691-1330",
            "fax_number": "214-691-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5499 GLEN LAKES DR",
            "address_2": "#100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75231",
            "telephone_number": "214-691-1330",
            "fax_number": "214-691-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS ALLERGY AND ASTHMA CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "CORDOVA",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "214-691-1330"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "TX",
            "license": "D6588, G6386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.