Allen Primary Podiatry

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

ALLEN PRIMARY PODIATRY

Practice address

12940 W Warren Ave
Dearborn, MI 48126-1535

Phone

(734) 895-4530

Fax

(313) 447-2280

NPI assigned

Nov 18, 2021

Last updated

Oct 20, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alex Bouhachem, DPMNPI 1912905340

Title

Ceo

Phone

(734) 895-4530

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alex Bouhachem, DPM

  • Foot & Ankle Surgery Podiatrist
  • Dearborn, MI
  • NPI 1912905340
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792454400000",
    "number": "1699432286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 N ROSEVERE AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281242",
            "telephone_number": "734-895-4530",
            "fax_number": "313-447-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12940 W WARREN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261535",
            "telephone_number": "734-895-4530",
            "fax_number": "313-447-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN PRIMARY PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-18",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A",
        "authorized_official_last_name": "BOUHACHEM",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-895-4530",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Firoz Allamoth
• Allan Kalmus DPM PC
• Allcare Home Health LLC
• Kenni Jae Allen El-Amin, MD
• Allen Hus PLC
• Amanda Allen, BCBA
• Andrea Allen, CCC-SLP
• Keisha Lorene Allen
• Todd Allen, MD
• Allergy & Immunology Associates of Dearborn PC (Allergy Associates of Dearborn)

• Foot & Ankle Surgery Podiatrist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Foot & Ankle Surgery Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2026; 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.