Organization Active NPI

Allergy and Asthma Consultants of Montana, PLLC

  • Specialist
  • Bozeman, MT
National Provider Identifier
1629090758
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ALLERGY AND ASTHMA CONSULTANTS OF MONTANA, PLLC
Practice address
2055 N 22ND Ave
Suite 1
Bozeman, MT 59718-2783
Phone
(406) 582-1111
Fax
(406) 582-1112
NPI assigned
Jul 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Pat Wanderer
Title
Practice Manager
Phone
(406) 582-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

2055 N 22ND Ave
Suite 1
Bozeman, MT 59718-2783

Mailing address

2055 N 22ND Ave
Suite 1
Bozeman, MT 59718-2783
Phone (406) 582-1111

National Provider Directory

National Provider Directory

Locations

2055 N 22nd Ave
Ste 1
Bozeman, MT 59718
Phone (406) 556-9798

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDDBCA

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": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629090758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 N 22ND AVE",
            "address_2": "SUITE 1",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597182783",
            "telephone_number": "406-582-1111",
            "fax_number": "406-582-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 N 22ND AVE",
            "address_2": "SUITE 1",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597182783",
            "telephone_number": "406-582-1111",
            "fax_number": "406-582-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY AND ASTHMA CONSULTANTS OF MONTANA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WANDERER",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "406-582-1111"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.