NPIMap

Organization Active NPI

Midwest Sinus Allergy Specialists, Inc

  • Otolaryngology Physician
  • Columbia, MO
National Provider Identifier
1821177916
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
MIDWEST SINUS ALLERGY SPECIALISTS, INC
Practice address
1701 E Broadway Suite 304
Columbia, MO 65201
Phone
(573) 815-0662
Fax
(573) 443-1162
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
James Denninghoff, MD
Title
Owner/Authorized Official
Phone
(573) 815-0662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

1701 E Broadway Suite 304
Columbia, MO 65201

Mailing address

1701 E Broadway Suite 304
Columbia, MO 65201
Phone (573) 815-0662

Other identifiers 1

IdentifierTypeStateIssuer
505251405MedicaidMO

National Provider Directory

National Provider Directory

Locations

3401 Berrywood Dr
Ste 201
Columbia, MO 65201
Phone (573) 777-8349

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1821177916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E BROADWAY SUITE 304",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65201",
            "telephone_number": "573-815-0662",
            "fax_number": "573-443-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E BROADWAY SUITE 304",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65201",
            "telephone_number": "573-815-0662",
            "fax_number": "573-443-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST SINUS ALLERGY SPECIALISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "DENNINGHOFF",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "573-815-0662",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505251405",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.