Centers for Allergy, Asthma and Immune Disorders PC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

29873 Issued in IA

Legal business name

CENTERS FOR ALLERGY, ASTHMA AND IMMUNE DISORDERS PC

Practice address

804 Kenyon Rd
Fort Dodge, IA 50501-5742

Phone

(515) 574-6830

Fax

(515) 574-6097

NPI assigned

Jul 27, 2016

Last updated

Jul 27, 2016By 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

Dr. Francisco Mir Garcia Peralta, M.D.

Title

President

Phone

(515) 570-0595

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1770036691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 KENYON RD",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015742",
            "telephone_number": "515-574-6830",
            "fax_number": "515-574-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 KENYON RD",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015742",
            "telephone_number": "515-574-6830",
            "fax_number": "515-574-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERS FOR ALLERGY, ASTHMA AND IMMUNE DISORDERS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "PERALTA",
        "authorized_official_first_name": "FRANCISCO MIR",
        "authorized_official_middle_name": "GARCIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-570-0595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IA",
            "license": "29873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3179507",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chris Carzoli, D.O.
• Misty Cassle
• Alma Suga Castaneda, RPT
• Wesley Adonis Castro, OTD, OTR/L, CLT
• Catholic Charities
• Lisa Kay Chase, ARNP
• Judith Carol Christensen, LISW
• John Michael Sycip Chua Chiaco, M.D.
• City of Fort Dodge (Fort Doge Fire Department)
• Suzanne M Clapp, CRNA

• Allergy & Immunology Physician in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Allergy & Immunology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.