INTEGRATIVE IMMUNITY HEALTH SYSTEM PC – NPI #1265802052
Allergy & Immunology

A physician who specializes in the diagnosis, treatment, and management of allergies.

INTEGRATIVE IMMUNITY HEALTH SYSTEM PC is an allergy & immunologist located in EDINA, MN. NPPES has assigned the NPI number 1265802052 to INTEGRATIVE IMMUNITY HEALTH SYSTEM PC on October 06, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207KA0200X from the Health Care Provider Taxonomy code set, which is classified as Allergy & Immunology, specializing in Allergy

The NPI profile was previously updated about 4 years ago on Sep 20, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INTEGRATIVE IMMUNITY HEALTH SYSTEM PC below.

NPI Profile for
INTEGRATIVE IMMUNITY HEALTH SYSTEM PC

NPI Number
1265802052
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INTEGRATIVE IMMUNITY HEALTH SYSTEM PC
Primary location
3939 W 69TH ST UNIT B
EDINA, MN 55435-2001
Phone: (952) 222-3879 Fax: (952) 222-3919
3 Other location(s):
10850 Rhode Island Ave S
Bloomington, MN 55438-2300
Phone: (903) 705-3500
4503 Coleman St Ste 208
Bismarck, ND 58503-2007
Phone: (952) 222-3879
625 W 18th St Ste 100
Sioux Falls, SD 57105-0602
Phone: (855) 372-8266
Mailing address
625 W 18TH ST STE 100
SIOUX FALLS, SD 57105-0602
Phone: (952) 222-3879 Fax:
Organization Subpart
No
Authorized Official
BENOIT TANO
MD/OWNER
Phone: (952) 222-3879
Updated
Certification Date
Sep 20, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207KA0200X
- Allergy & Immunology / Allergy (Primary)
MN 56126

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.