Organization Active NPI

Allen Podiatry LLC

  • Podiatric Clinic/Center
  • Tulsa, OK
National Provider Identifier
1467961524
Registry record updated Sep 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
255 Issued in OK
Legal business name
ALLEN PODIATRY LLC
Practice address
3668 W 70TH PL N
Tulsa, OK 74126-4384
Phone
(727) 492-2159
Fax
(405) 285-8921
NPI assigned
Sep 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2017

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

Authorized official

Name
Clifford G Allen II, DPMNPI 1447366695
Title
Owner
Phone
(405) 285-8900

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
Podiatric Clinic/Center 261QP1100X 255 OK Primary

Addresses

Primary practice location

3668 W 70TH PL N
Tulsa, OK 74126-4384

Mailing address

PO Box 8574
Edmond, OK 73083-8574
Phone (405) 285-8900

Other identifiers 1

IdentifierTypeStateIssuer
200250140AMedicaidOK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505952000000",
    "number": "1467961524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8574",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730838574",
            "telephone_number": "405-285-8900",
            "fax_number": "405-285-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3668 W 70TH PL N",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741264384",
            "telephone_number": "727-492-2159",
            "fax_number": "405-285-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2017-09-21",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-285-8900",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "OK",
            "license": "255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200250140A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2017; 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.