Organization Active NPI

Flatiron Allergy & Asthma Center

  • Allergy & Immunology Physician
  • Louisville, CO
National Provider Identifier
1790107373
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
DR50487 Issued in CO
Legal business name
FLATIRON ALLERGY & ASTHMA CENTER
Practice address
90 Health Park Dr
170
Louisville, CO 80027-9757
Phone
(303) 862-3303
Fax
(303) 862-3308
NPI assigned
Jan 15, 2014
Last updated
Jan 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Authorized official

Name
Shoban Dave, M.D.NPI 1558377317
Title
Owner
Phone
(303) 862-3303

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 Physician 207K00000X DR50487 CO Primary

Addresses

Primary practice location

90 Health Park Dr
170
Louisville, CO 80027-9757

Mailing address

90 Health Park Dr
170
Louisville, CO 80027-9757
Phone (303) 862-3303

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250207000681 CO Part B Supplier - Clinic/Group Practice 8325262306 Receives reassigned benefits from 3 practitioners
Practice locations: Longmont, CO; Louisville, CO

National Provider Directory

National Provider Directory

Locations

900 S Main St
Ste 200
Longmont, CO 80501
Phone (303) 862-3303

90 Health Park Dr
Ste 170
Louisville, CO 80027
Phone (303) 832-3303

Practitioners & affiliated clinicians

Practitioners 3

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": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1790107373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HEALTH PARK DR",
            "address_2": "170",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279757",
            "telephone_number": "303-862-3303",
            "fax_number": "303-862-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 HEALTH PARK DR",
            "address_2": "170",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279757",
            "telephone_number": "303-862-3303",
            "fax_number": "303-862-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLATIRON ALLERGY & ASTHMA CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "DAVE",
        "authorized_official_first_name": "SHOBAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-862-3303",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CO",
            "license": "DR50487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.