David More Allen
Individual provider Active NPI Specialist · Ogden, UT
NPI 1487672986 · NPPES record last updated May 11, 2022
Key facts
- NPI
- 1487672986
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 53160261205 (UT)
- Practice address
- 3860 Jackson Ave Ste 2
Ogden, UT 84403-1979 - Phone
- (801) 627-0515
- Fax
- (801) 627-0517
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Dermatology
- Education
- Medical College of Wisconsin, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ogden Clinic Specialty Services LLC
Practice addresses (Care Compare)
4650 Harrison Blvd
Ogden, UT 84403-4303
Phone (801) 475-3482
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 18 |
| Removal of skin lesions | 2280 |
| Removal or shaving of skin growth | 115 |
| Skin biopsy | 282 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040520001568 | UT | Practitioner - Dermatology | 9335130020 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53160261205 | UT | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ogden Clinic PC | Dermatology | Current | Accepting new patients |
| Ogden Clinic Specialty Services LLC | Dermatology | Current |
Accepting new patients |
| Dermatology Division University of Utah Medical Center | Dermatology | Past |
Accepting new patients |
| U-U Pediatric Dermatology | Past |
Accepting new patients |
Locations
4650 Harrison Blvd
Ogden, UT 84403
Phone (801) 475-3481
3860 Jackson Ave
Ste 2
Ogden, UT 84403
Phone (801) 627-0515
1100 W 2700 N
Pleasant View, UT 84404
Phone (801) 475-3600
6112 S Harrison
South Ogden, UT 84405
Phone (801) 475-3800
1491 E Ridgeline Dr
South Ogden, UT 84405
Phone (317) 790-7550
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JJJGBA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 53160261205 | UT | Yes |
Addresses
Primary practice location
3860 Jackson Ave Ste 2
Ogden, UT 84403-1979
Mailing address
3860 Jackson Ave
Ste 2
Ogden, UT 84403-1997
Phone (801) 627-0515
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.