Organization Active NPI

William Storms Allergy Clinic PC

  • Allergy Physician
  • Castle Rock, CO
National Provider Identifier
1669089538
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
WILLIAM STORMS ALLERGY CLINIC PC
Practice address
4535 Milestone LN
Castle Rock, CO 80104-7918
Phone
(719) 955-6000
Fax
(855) 828-0878
NPI assigned
Sep 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Authorized official

Name
Linda Schutt
Title
Credentials Specialist
Phone
(512) 548-0988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X Primary

Addresses

Primary practice location

4535 Milestone LN
Castle Rock, CO 80104-7918

Mailing address

5929 Balcones Dr Ste 200
Austin, TX 78731-4280
Phone (125) 501-8005

Other identifiers 1

IdentifierTypeStateIssuer
50227876MedicaidCO

Other names 1

  • Aspire Allergy & Sinus Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050801001228 CO Part B Supplier - Clinic/Group Practice 7810925781 Receives reassigned benefits from 16 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lakewood, CO; Pueblo, CO; Colorado Springs, CO; Centennial, CO; Castle Rock, CO

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory
Tax ID family
Aspire Allergy Sinus2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

19245 E Smoky Hill Rd
Unit A
Centennial, CO 80015
Phone (303) 468-8668

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1669089538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5929 BALCONES DR STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314280",
            "telephone_number": "125-501-8005",
            "fax_number": "855-828-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 MILESTONE LN",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047918",
            "telephone_number": "719-955-6000",
            "fax_number": "855-828-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM STORMS ALLERGY CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "SCHUTT",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CREDENTIALS SPECIALIST",
        "authorized_official_telephone_number": "512-548-0988"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50227876",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspire Allergy & Sinus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.