Active NPI
David Webster Allen, MD
- Vascular & Interventional Radiology Physician
- West Roxbury, MA
National Provider Identifier
1740496306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 246644
- Practice address
- VA West Roxbury
1400 VFW Pkwy Department of Radiology
West Roxbury, MA 02132 - Phone
- (857) 203-5745
- Fax
- (914) 493-7561
- NPI assigned
- May 14, 2007
- Last updated
- Feb 18, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 248864 | NY | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 246644 | MA | Primary |
Addresses
Primary practice location
VA West Roxbury
1400 VFW Pkwy Department of Radiology
West Roxbury, MA 02132
Mailing address
VA West Roxbury
1400 VFW Pkwy Department of Radiology
West Roxbury, MA 02132
Phone (857) 203-5745
Other practice location 1
95 Grasslands Rd
Westchester Medical Center Dept of Radiology VIR
Valhalla, NY 10595
Phone (914) 493-7816
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Interoperability endpoints
- dallen29826@tuftsmedicine.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613606400000",
"number": "1740496306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "VA WEST ROXBURY",
"address_2": "1400 VFW PKWY DEPARTMENT OF RADIOLOGY",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "02132",
"telephone_number": "857-203-5745",
"fax_number": "914-493-7561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VA WEST ROXBURY",
"address_2": "1400 VFW PKWY DEPARTMENT OF RADIOLOGY",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "02132",
"telephone_number": "857-203-5745",
"fax_number": "914-493-7561"
}
],
"practiceLocations": [
{
"address_1": "95 Grasslands Rd",
"address_2": "Westchester Medical Center Dept of Radiology VIR",
"address_purpose": "LOCATION",
"city": "Valhalla",
"state": "NY",
"postal_code": "10595",
"country_code": "US",
"telephone_number": "914-493-7816",
"fax_number": "914-493-7561",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLEN",
"first_name": "DAVID",
"middle_name": "WEBSTER",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2021-02-18",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NY",
"license": "248864",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MA",
"license": "246644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.