Organization Active NPI

Sioux City Allergy & Asthma Associates, PC

  • Allergy & Immunology Physician
  • Sioux City, IA
National Provider Identifier
1881746105
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
23362 Issued in IA
Legal business name
SIOUX CITY ALLERGY & ASTHMA ASSOCIATES, PC
Practice address
4280 Sergeant Rd
Suite 230
Sioux City, IA 51106-4634
Phone
(712) 274-6884
NPI assigned
Jan 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sandy Haren
Title
Office Manager
Phone
(712) 274-6884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 23362 IA Primary

Addresses

Primary practice location

4280 Sergeant Rd
Suite 230
Sioux City, IA 51106-4634

Mailing address

4280 Sergeant Rd
Suite 230
Sioux City, IA 51106-4634
Phone (712) 274-6884

National Provider Directory

National Provider Directory

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": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881746105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4280 SERGEANT RD",
            "address_2": "SUITE 230",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064634",
            "telephone_number": "712-274-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 SERGEANT RD",
            "address_2": "SUITE 230",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064634",
            "telephone_number": "712-274-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIOUX CITY ALLERGY & ASTHMA ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAREN",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "712-274-6884"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IA",
            "license": "23362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.