Allergy Clinic Prof LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ALLERGY CLINIC PROF LLC

Practice address

1828 W Kansas City St
Rapid City, SD 57702-2516

Phone

(605) 348-1350

Fax

(605) 342-3882

NPI assigned

Jul 17, 2007

Last updated

Oct 11, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cynthia Tullis

Title

Cma

Phone

(605) 348-1350

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Patricia Gilbert, PA-C/L/ATC

  • Medical Physician Assistant
  • Buffalo, SD
  • NPI 1801862115
  NPD (past)
• Robert C Stelzle, MD

  • Allergy & Immunology Physician
  • Oro Valley, AZ
  • NPI 1639161813
  NPD (past)

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507680000000",
    "number": "1679772875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 W KANSAS CITY ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022516",
            "telephone_number": "605-348-1350",
            "fax_number": "605-342-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 W KANSAS CITY ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022516",
            "telephone_number": "605-348-1350",
            "fax_number": "605-342-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY CLINIC PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2017-10-11",
        "status": "A",
        "authorized_official_last_name": "TULLIS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CMA",
        "authorized_official_telephone_number": "605-348-1350"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy Allen, LCSW-PIP, QMHP
• Richard B Allen, M.D.
• Robert Glenn Allen Jr., M.D.
• Shirley B Allen
• Stephen D Allen, CRNA
• Tasha Rae Alley
• Allmer Vision Center, PC (Eye Care Associates)
• Tracey Lynn Almquist, LPN
• Dalia Alonzo, MSW
• Nicholas Rene Alonzo, PA-C

• Specialist in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Specialist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; 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.