P Praxis·MD
● Active Type 1 · Individual

David Aaron Petty, D.O.

Allergy & Immunology·Idaho Falls, ID· NPI 1376877795 · Enumerated 2009 · 16 years on NPI
Petty is 1 of 1 allergy & immunology providers in Idaho Falls and 1 of 10 in Idaho.
NPI age
16 years
Enumerated 2009-10-01
Primary specialty
Allergy & Immunology
Plus 1 subspecialty
Licensed in
ID, TN
2 states
Status
Active
No deactivations on record
Last NPPES update
2019-06-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 10 active allergy & immunology providers in Idaho.

NPI age
16 years
↓ 3 yr below median (19 yr)
State licenses
2 states
Top 60% — 40% of peers are multi-state
Subspecialties
0
50% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-10Enumerated in NPPES
2009 2026

Where they practice

Practice location
3422 S 15th E
Idaho Falls, ID 834048262
📞 2085299292fax 2085232397
Mailing address
3422 S 15th E
Idaho Falls, ID 834048262
📞 2085299292fax 2085232397

Specialties

  • Allergy & Immunology Primary
    A physician who specializes in the diagnosis, treatment, and management of allergies.
    ID license #O-0796TN license #DO0000002408 taxonomy 207KA0200X

Practice context

Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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