Anthony Alexander Allen, C. PED.

Primary specialty

SpecialistTaxonomy code 174400000X

License

20011 Issued in AZ

Practice address

230 W Continental Rd Ste 416
Green Valley, AZ 85622-3591

Phone

(520) 399-1365

Fax

(520) 696-3338

NPI assigned

Mar 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1528199239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18783 S AVENIDA RIO VELOZ",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856298172",
            "telephone_number": "520-304-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W CONTINENTAL RD STE 416",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856223591",
            "telephone_number": "520-399-1365",
            "fax_number": "520-696-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ANTHONY",
        "middle_name": "ALEXANDER",
        "credential": "C. PED.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "20011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Green Valley, AZ
• Providers in Green Valley, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.