Organization Active NPI

Advanced Asthma & Allergy Practice PLLC

  • Allergy & Immunology Physician
  • Desoto, TX
National Provider Identifier
1700628716
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
ADVANCED ASTHMA & ALLERGY PRACTICE PLLC
Practice address
712 N Hampton Rd Ste 245
Desoto, TX 75115-4543
Phone
(972) 919-6999
NPI assigned
Jun 10, 2024
Last updated
Jun 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Dr. Benjamin Iyiola Oyefara, MDNPI 1285660589
Title
Managing Member
Phone
(972) 919-6999

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)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

712 N Hampton Rd Ste 245
Desoto, TX 75115-4543

Mailing address

712 N Hampton Rd Ste 245
Desoto, TX 75115-4543
Phone (972) 919-6999

Other practice location 1

712 N Hampton Rd Ste 245
DeSoto, TX 75115-4543
Phone (972) 919-6999

National Provider Directory

National Provider Directory

Locations

712 N Hampton Rd
Ste 245
Desoto, TX 75115
Phone (318) 680-6045

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": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1700628716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 N HAMPTON RD STE 245",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751154543",
            "telephone_number": "972-919-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 N HAMPTON RD STE 245",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751154543",
            "telephone_number": "972-919-6999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "712 N Hampton Rd Ste 245",
            "address_purpose": "LOCATION",
            "city": "DeSoto",
            "state": "TX",
            "postal_code": "751154543",
            "country_code": "US",
            "telephone_number": "972-919-6999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED ASTHMA & ALLERGY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "OYEFARA",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "IYIOLA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "972-919-6999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.