Denton Allergy Group PLLC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

DENTON ALLERGY GROUP PLLC

Practice address

3105 Colorado Blvd
Suite 101
Denton, TX 76210

Phone

(972) 398-3500

Fax

(972) 398-3512

NPI assigned

Oct 21, 2010

Organization subpart

No

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

Authorized official

Name

Dr. John A. Van Wagoner, PA MD

Title

Owner/President

Phone

(972) 398-3500

Specialties & licenses 1

Addresses

Other names 1

• Southwest Allergy & Asthma Center Doing business as

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1811297054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 WINDCOM COURT",
            "address_2": "STE 400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937817",
            "telephone_number": "972-398-3500",
            "fax_number": "972-398-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 COLORADO BLVD",
            "address_2": "SUITE 101",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "76210",
            "telephone_number": "972-398-3500",
            "fax_number": "972-398-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTON ALLERGY GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "VAN WAGONER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "972-398-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PA MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Allergy & Asthma Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Shae Denney, PT, DPT
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• Allergy & Immunology Physician in Denton, TX
• Providers in Denton, TX by specialty
• Allergy & Immunology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.