Active NPI
Comprehensive Allergy and Asthma Care Center, LLC
- Medical Specialty Clinic/Center
- Mitchellville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- D0068780
- Legal business name
- COMPREHENSIVE ALLERGY AND ASTHMA CARE CENTER, LLC
- Practice address
- 12164 Central Ave
Suite 225
Mitchellville, MD 20721-1944 - Phone
- (240) 206-9601
- Fax
- (240) 206-9072
- NPI assigned
- Aug 28, 2013
- Last updated
- Oct 15, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Taryn R Richardson, M.D.
- Title
- Owner/Physician
- Phone
- (240) 206-9601
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | D0068780 | MD | Primary |
Addresses
Primary practice location
12164 Central Ave
Suite 225
Mitchellville, MD 20721-1944
Mailing address
12164 Central Ave
Suite 225
Mitchellville, MD 20721-1944
Phone (240) 206-9601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
12164 Central Ave
Ste 225
Mitchellville, MD 20721
Phone (240) 206-9601
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": "1377648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1381795200000",
"number": "1619301439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12164 CENTRAL AVE",
"address_2": "SUITE 225",
"city": "MITCHELLVILLE",
"state": "MD",
"postal_code": "207211944",
"telephone_number": "240-206-9601",
"fax_number": "240-206-9072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12164 CENTRAL AVE",
"address_2": "SUITE 225",
"city": "MITCHELLVILLE",
"state": "MD",
"postal_code": "207211944",
"telephone_number": "240-206-9601",
"fax_number": "240-206-9072"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE ALLERGY AND ASTHMA CARE CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-28",
"last_updated": "2013-10-15",
"status": "A",
"authorized_official_last_name": "RICHARDSON",
"authorized_official_first_name": "TARYN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "240-206-9601",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "MD",
"license": "D0068780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mitchellville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; 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.