NPIMap

Organization Active NPI

Asthma & Allergy Center LLC

  • Allergy & Immunology Physician
  • Glenn Dale, MD
National Provider Identifier
1528947017
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
ASTHMA & ALLERGY CENTER LLC
Practice address
12150 Annapolis Rd Ste 108
Glenn Dale, MD 20769-9183
Phone
(301) 860-1200
NPI assigned
Aug 28, 2025
Last updated
Aug 28, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ASTHMA & ALLERGY CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Authorized official

Name
Taylor Knutson
Title
Chief of Staff
Phone
(361) 244-3468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X NU Primary

Addresses

Primary practice location

12150 Annapolis Rd Ste 108
Glenn Dale, MD 20769-9183

Mailing address

2500 Legacy Dr Ste 200
Frisco, TX 75034-1844

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
21D2304542Asthma & Allergy Center LLC12150 Annapolis Rd Ste 108, Glenn Dale, MD 20769Certificate of waiverMay 14, 2028

National Provider Directory

National Provider Directory
Tax ID family
Asthma Allergy Center17 organizations share this tax ID, including this one
Part of
Asthma Allergy Center

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1528947017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 LEGACY DR STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 ANNAPOLIS RD STE 108",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699183",
            "telephone_number": "301-860-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTHMA & ALLERGY CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASTHMA & ALLERGY CENTER LLC",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "KNUTSON",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "CHIEF OF STAFF",
        "authorized_official_telephone_number": "361-244-3468"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenn Dale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.