Organization Active NPI

Clifford G Allen II DPM PLLC

  • Podiatric Clinic/Center
  • Sand Springs, OK
National Provider Identifier
1568774867
Registry record updated Jan 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
255 Issued in OK
Legal business name
CLIFFORD G ALLEN II DPM PLLC
Practice address
214 N Main St Ste 203
Sand Springs, OK 74063-7652
Phone
(918) 361-8761
Fax
(918) 514-0188
NPI assigned
Jul 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2025

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
(918) 361-8761

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

214 N Main St Ste 203
Sand Springs, OK 74063-7652

Mailing address

214 N Main St Ste 203
Sand Springs, OK 74063-7652
Phone (918) 361-8761

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181011001490 OK Part B Supplier - Clinic/Group Practice 3173875697 Receives reassigned benefits from 1 practitioner
Practice locations: Sand Springs, OK

National Provider Directory

National Provider Directory

Locations

214 N Main St
Ste 203
Sand Springs, OK 74063
Phone (918) 361-8761

Practitioners & affiliated clinicians

Practitioners 1

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": "1278028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735948800000",
    "number": "1568774867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 N MAIN ST STE 203",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740637652",
            "telephone_number": "918-361-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N MAIN ST STE 203",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740637652",
            "telephone_number": "918-361-8761",
            "fax_number": "918-514-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFFORD G ALLEN II DPM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-02",
        "last_updated": "2025-01-04",
        "certification_date": "2025-01-04",
        "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": "918-361-8761",
        "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sand Springs, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2025; 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.