Active NPI
Daniel Fred Allen, DC PC
- Chiropractor
- Tucson, AZ
National Provider Identifier
1720034952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2063
- Practice address
- 3917 E Pima St
Tucson, AZ 85712-3314 - Phone
- (520) 318-9841
- Fax
- (520) 318-9845
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2063 | AZ | Primary |
Addresses
Primary practice location
3917 E Pima St
Tucson, AZ 85712-3314
Mailing address
3917 E Pima St
Tucson, AZ 85712-3314
Phone (520) 318-9841
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0081500 | Other | AZ | BCBS ID |
| 28100185 | Other | AZ | STATE FUND WORK COMP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olsen Chiropractic LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Tucson, AZ
- NPI 1760612287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191888000000",
"number": "1720034952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3917 E PIMA ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857123314",
"telephone_number": "520-318-9841",
"fax_number": "520-318-9845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3917 E PIMA ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857123314",
"telephone_number": "520-318-9841",
"fax_number": "520-318-9845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "DANIEL",
"middle_name": "FRED",
"name_prefix": "Dr.",
"credential": "DC PC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2007-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "2063",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID",
"identifier": "AZ0081500",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE FUND WORK COMP",
"identifier": "28100185",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.