Individual provider Active NPI

Daniel Gregory Allen, M.D.

  • Forensic Psychiatry Physician
  • Anchorage, AK
National Provider Identifier
1033433172
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Psychiatry PhysicianTaxonomy code 2084F0202X
License
172689 Issued in CA
Practice address
673 Medical Group
JB Elmendorf-Richardson
Anchorage, AK 99506
Phone
(907) 580-2181
NPI assigned
Mar 18, 2010
Last updated
Aug 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 26428 NE
Forensic Psychiatry Physician 2084F0202X 172689 CA Primary

Addresses

Primary practice location

673 Medical Group
JB Elmendorf-Richardson
Anchorage, AK 99506

Mailing address

673 Medical Group
JB Elmendorf-Richardson
Anchorage, AK 99506
Phone (907) 580-2181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
172689CAMDForensic Psychiatry Physician
26428NEMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1033433172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 MEDICAL GROUP",
            "address_2": "JB ELMENDORF-RICHARDSON",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99506",
            "telephone_number": "907-580-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 MEDICAL GROUP",
            "address_2": "JB ELMENDORF-RICHARDSON",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99506",
            "telephone_number": "907-580-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "DANIEL",
        "middle_name": "GREGORY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-18",
        "last_updated": "2022-08-04",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "26428",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "CA",
            "license": "172689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.