Jason C Allen DPM PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0641 Issued in AZ

Legal business name

JASON C ALLEN DPM PLLC

Practice address

1701 N Stockton Hill Rd
Suite D
Kingman, AZ 86401-6600

Phone

(928) 753-4500

Fax

(928) 753-2220

NPI assigned

Jun 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jason C Allen, DPM

Title

Sole Member

Phone

(928) 753-4500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cornerstone Podiatry Doing business as

Locations

Practitioners 2

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

• Richard Bullen, OD

  • Optometrist
  • Kingman, AZ
  • NPI 1811565252
  NPD
• Nathaniel Richard Nielsen, OD

  • Optometrist
  • Peoria, AZ
  • NPI 1972178523
  NPD

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398556800000",
    "number": "1164459343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 N STOCKTON HILL RD",
            "address_2": "SUITE D",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864016600",
            "telephone_number": "928-753-4500",
            "fax_number": "928-753-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N STOCKTON HILL RD",
            "address_2": "SUITE D",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864016600",
            "telephone_number": "928-753-4500",
            "fax_number": "928-753-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON C ALLEN DPM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2014-04-27",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "928-753-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094601",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Jahnny, D.O.
• Audra Nicole Jalbert, LPC
• Syed Zahid Jamal, MD
• Lauren Camille Jarmie Harris, PH.D.
• Christopher Jarrell, FNP
• Jason W Lowry DDS PLLC
• Marilyn Joyce Jenkins
• Jennifer Ann Kern PLLC
• Jeremiah E. Jensen, LCSW
• Sungnam Joe, M.D.

• Foot & Ankle Surgery Podiatrist in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Foot & Ankle Surgery Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2014; 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.