Organization Active NPI

Advanced Allergy, Asthma, & Immunology Center, P.a.

  • Medical Specialty Clinic/Center
  • San Antonio, TX
National Provider Identifier
1477860823
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
L9178 Issued in TX
Legal business name
ADVANCED ALLERGY, ASTHMA, & IMMUNOLOGY CENTER, P.A.
Practice address
540 Madison Oak Dr
Suite #210
San Antonio, TX 78258-3943
Phone
(210) 499-4824
Fax
(210) 499-4825
NPI assigned
Sep 7, 2010
Last updated
Nov 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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

Authorized official

Name
Dr. Patricia Lynette Gomez Dinger, D.O.NPI 1770709370
Title
Owner/President
Phone
(210) 499-4824

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X L9178 TX Primary

Addresses

Primary practice location

540 Madison Oak Dr
Suite #210
San Antonio, TX 78258-3943

Mailing address

540 Madison Oak Dr
Suite #210
San Antonio, TX 78258-3943
Phone (210) 499-4824

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110407000545 TX Part B Supplier - Clinic/Group Practice 2567646086 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

540 Madison Oak Dr
Ste 210
San Antonio, TX 78258
Phone (210) 479-3233

540 Madison Oak Dr
Ste 450
San Antonio, TX 78258
Phone (210) 494-2000

17323 Interstate 35 N
Ste 108
Schertz, TX 78154

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": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1477860823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 MADISON OAK DR",
            "address_2": "SUITE #210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583943",
            "telephone_number": "210-499-4824",
            "fax_number": "210-499-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 MADISON OAK DR",
            "address_2": "SUITE #210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583943",
            "telephone_number": "210-499-4824",
            "fax_number": "210-499-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ALLERGY, ASTHMA, & IMMUNOLOGY CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "DINGER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "LYNETTE GOMEZ",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "210-499-4824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "L9178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.