Active NPI
Denyse Marie Allen, M.D.
- Family Medicine Physician
- Lebanon, PA
National Provider Identifier
1720137177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD-032127-E
- Practice address
- 1701 Cornwall Rd Ste 201
Lebanon, PA 17042-7480 - Phone
- (717) 675-1780
- Fax
- (717) 675-1787
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 170213 | NY | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | MD-032127-E | PA | |
| Family Medicine Physician | 207Q00000X | MD-032127-E | PA | Primary |
Addresses
Primary practice location
1701 Cornwall Rd Ste 201
Lebanon, PA 17042-7480
Mailing address
1701 Cornwall Rd Ste 201
Lebanon, PA 17042-7480
Phone (717) 675-1780
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03212100 | Other | PA | BLUE CROSS-KEYSTONE |
| 488777 | Other | PA | BLUE SHIELD |
| 001065331 | Medicaid | PA |
Other names 1
- Dr. Denise Marie Allen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080619000313 | PA | Practitioner - Family Practice | 2668543695 | Practice locations: Lebanon, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170213 | NY | MD | Family Medicine Physician |
| MD-032127-E | PA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583193600000",
"number": "1720137177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 CORNWALL RD STE 201",
"city": "LEBANON",
"state": "PA",
"postal_code": "170427480",
"telephone_number": "717-675-1780",
"fax_number": "717-675-1787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 CORNWALL RD STE 201",
"city": "LEBANON",
"state": "PA",
"postal_code": "170427480",
"telephone_number": "717-675-1780",
"fax_number": "717-675-1787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "DENYSE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2020-03-03",
"certification_date": "2020-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "170213",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "PA",
"license": "MD-032127-E",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD-032127-E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-KEYSTONE",
"identifier": "03212100",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "488777",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001065331",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DENISE",
"last_name": "ALLEN",
"middle_name": "MARIE",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.