Organization Active NPI

Hedberg Allergy and Asthma Center, PA

  • Allergy & Immunology Physician
  • Rogers, AR
National Provider Identifier
1295820918
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
HEDBERG ALLERGY AND ASTHMA CENTER, PA
Practice address
700 S 52ND St
Rogers, AR 72758
Phone
(479) 464-8887
Fax
(479) 464-9949
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Authorized official

Name
Dr. Curtis Lars Hedberg, MD
Title
President
Phone
(479) 464-8887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

700 S 52ND St
Rogers, AR 72758

Mailing address

700 S 52ND St
Rogers, AR 72758
Phone (479) 464-8887

Other practice location 1

3115 Arizona Ave
Joplin, MO 64804-3125
Phone (417) 726-5098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040116000205 AR Part B Supplier - Clinic/Group Practice 3476454026 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
Practice locations: Fayetteville, AR; Rogers, AR

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

5417 W Pinnacle Pointe Dr
Ste 401
Rogers, AR 72758
Phone (479) 464-8887

700 S 52nd St
Rogers, AR 72758
Phone (479) 464-8887

Practitioners 7

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D1013773Hedberg Allergy & Asthma Center700 S 52ND Street, Rogers, AR 72758Certificate of waiverJul 28, 2028

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1295820918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S 52ND ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "72758",
            "telephone_number": "479-464-8887",
            "fax_number": "479-464-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S 52ND ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "72758",
            "telephone_number": "479-464-8887",
            "fax_number": "479-464-9949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3115 Arizona Ave",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648043125",
            "country_code": "US",
            "telephone_number": "417-726-5098",
            "fax_number": "479-464-9949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEDBERG ALLERGY AND ASTHMA CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "HEDBERG",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "LARS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-464-8887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.