NPIMap

Organization Active NPI

Boulder Valley Asthma & Allergy Clinics, PC

  • Specialist
  • Lafayette, CO
National Provider Identifier
1346865813
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
BOULDER VALLEY ASTHMA & ALLERGY CLINICS, PC
Practice address
380 Empire Rd Ste 101
Lafayette, CO 80026-2677
Phone
(303) 234-1067
Fax
(303) 232-2967
NPI assigned
Jun 10, 2020
Last updated
Jun 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Authorized official

Name
Wanda S Harper
Title
Billing Manager
Phone
(303) 234-1067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

380 Empire Rd Ste 101
Lafayette, CO 80026-2677

Mailing address

1746 Cole Blvd Ste 320
Lakewood, CO 80401-3208
Phone (303) 234-1067

Other practice location 1

588 N US Highway 287 Ste 204
Lafayette, CO 80026-2615
Phone (303) 234-1067

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051013001064 CO Part B Supplier - Clinic/Group Practice 4284659632 Receives reassigned benefits from 11 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Arvada, CO; Westminster, CO; Littleton, CO; Lakewood, CO; Lafayette, CO; Englewood, CO; Denver, CO; Burlington, CO…

Other NPIs on the same Medicare enrollment 8

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

National Provider Directory

National Provider Directory
Tax ID family
Boulder Valley Asthma Allergy Clinics PC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

1660 S Albion St
Ste 907
Denver, CO 80222
Phone (303) 388-1946

Practitioners & affiliated clinicians

Practitioners 10

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": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1346865813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1746 COLE BLVD STE 320",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013208",
            "telephone_number": "303-234-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 EMPIRE RD STE 101",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262677",
            "telephone_number": "303-234-1067",
            "fax_number": "303-232-2967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "588 N US Highway 287 Ste 204",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "800262615",
            "country_code": "US",
            "telephone_number": "303-234-1067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOULDER VALLEY ASTHMA & ALLERGY CLINICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "303-234-1067"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.