Organization Active NPI

Dawn S. Allison, MD, PC

  • Dermatology Physician
  • Bend, OR
National Provider Identifier
1366492530
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DAWN S. ALLISON, MD, PC
Practice address
1510 Nancy Way
Bend, OR 97702-3215
Phone
(541) 322-9000
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Dawn S. AllisonNPI 1841277241
Title
President
Phone
(541) 322-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

1510 Nancy Way
Bend, OR 97702-3215

Mailing address

1208 Beall LN
Central Point, OR 97502-1573
Phone (541) 664-5151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040218000528 OR Part B Supplier - Clinic/Group Practice 4880589837 Receives reassigned benefits from 3 practitioners
Practice locations: Bend, OR

National Provider Directory

National Provider Directory

Locations

1510 SW Nancy Way
Bend, OR 97702
Phone (541) 322-9000

1510 SW Nancy Way
Ste 1
Bend, OR 97702
Phone (541) 322-9000

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1366492530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 BEALL LN",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975021573",
            "telephone_number": "541-664-5151",
            "fax_number": "541-664-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 NANCY WAY",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023215",
            "telephone_number": "541-322-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWN S. ALLISON, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-322-9000"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.