Individual provider Active NPI

David Ross Allen, MD

  • Pediatrics Physician
  • Tucson, AZ
National Provider Identifier
1255319174
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
9200 Issued in AZ
Practice address
2001 W Orange Grove Rd
# 312
Tucson, AZ 85704-1141
Phone
(520) 544-2449
Fax
(520) 544-2934
NPI assigned
Jan 3, 2006
Last updated
Feb 25, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 9200 AZ Primary

Addresses

Primary practice location

2001 W Orange Grove Rd
# 312
Tucson, AZ 85704-1141

Mailing address

2001 W Orange Grove Rd
# 312
Tucson, AZ 85704-1141
Phone (520) 544-2449

Other identifiers 4

IdentifierTypeStateIssuer
002000393OtherAZCIGNA
AZ0340020OtherAZBLUE CROSS
013152OtherAZCMDP
013152002MedicaidAZ

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
9200AZMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235520000000",
    "number": "1255319174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W ORANGE GROVE RD",
            "address_2": "# 312",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041141",
            "telephone_number": "520-544-2449",
            "fax_number": "520-544-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W ORANGE GROVE RD",
            "address_2": "# 312",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041141",
            "telephone_number": "520-544-2449",
            "fax_number": "520-544-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "DAVID",
        "middle_name": "ROSS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2009-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "9200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "002000393",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "AZ0340020",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMDP",
            "identifier": "013152",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013152002",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.