Allergy Clinic of America, LLC.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

MD2A-1299-05 Issued in NM

Legal business name

ALLERGY CLINIC OF AMERICA, LLC.

Practice address

615 W Mermod St
Carlsbad, NM 88220-4912

Phone

(575) 887-8925

Fax

(575) 887-8935

NPI assigned

Jan 25, 2012

Last updated

Jul 10, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nii Tetteh Addy, D.O.

Title

Owner

Phone

(575) 887-1282

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 2

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.

• Nii Tetteh Tsuru Addy, D.O

  • Family Medicine Physician
  • Carlsbad, NM
  • NPI 1790855732
  Medicare reassignment NPD
• Lisa J Perkowski, MD P.C.

  • Internal Medicine Physician
  • Carlsbad, NM
  • NPI 1831187921
  NPD (past)

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1316218126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W MERMOD ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882204912",
            "telephone_number": "575-887-8925",
            "fax_number": "575-887-8935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W MERMOD ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882204912",
            "telephone_number": "575-887-8925",
            "fax_number": "575-887-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY CLINIC OF AMERICA, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "ADDY",
        "authorized_official_first_name": "NII",
        "authorized_official_middle_name": "TETTEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-887-1282",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NM",
            "license": "MD2A-1299-05",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88003791",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• All Smiles Family Dental Clinics, LLC
• Daryl Allen, LM
• Heather D Allen
• Kelli Allen
• Ramsey Allen, CNP
• Teresa Marie Allery, PHD
• Walter A. Allery, MS/CCC-A
• Allied Health & Wellness, LLC
• Russell L Almon
• Adeniyi A Alo, PHARMD, MPH, PH.C

• Allergy & Immunology Physician in Carlsbad, NM
• Providers in Carlsbad, NM by specialty
• Allergy & Immunology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.