Allen K Raich DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

TNDPM228 Issued in TN

Legal business name

ALLEN K RAICH DPM PC

Practice address

1121 Poplar View LN N Ste 2
Collierville, TN 38017-9339

Phone

(901) 853-3018

Fax

(901) 853-3015

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Allen K Raich, DPMNPI 1083711105

Title

Owner

Phone

(901) 853-3015

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Allen K Raich, DPM

  • Podiatrist
  • Collierville, TN
  • NPI 1083711105
  Medicare reassignment NPD Authorized official
• Ronald E Rosenberg, DPM

  • Podiatrist
  • Memphis, TN
  • NPI 1417964198
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1366549412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 POPLAR VIEW LN N STE 2",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380179339",
            "telephone_number": "901-853-3018",
            "fax_number": "901-853-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 POPLAR VIEW LN N STE 2",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380179339",
            "telephone_number": "901-853-3018",
            "fax_number": "901-853-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN K RAICH DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "RAICH",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-853-3015",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "TNDPM228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3731576",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "4106735",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "900276068",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Agilitas USA Inc
• Maria Jessica Aguirre
• Fatima Al-Kanani
• Align Therapy LLC
• Alive Mental Health LLC
• Desiree Juanita Allen
• Adelaide Burrow Allgyer, BCBA
• Allison C Hanauer PHD LLC
• Joan Michelle Allmon, M.D.
• Majdi Alnasan

• Podiatrist in Collierville, TN
• Providers in Collierville, TN by specialty
• Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.