Active NPI
Allan R Devilleneuve, M.D.
- Pediatrics Physician
- Plano, TX
National Provider Identifier
1760542229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D5963
- Practice address
- 4001 West 15TH Street, Suite 375
Suite 100
Plano, TX 75093-5862 - Phone
- (972) 612-5346
- Fax
- (972) 599-1331
- NPI assigned
- Dec 12, 2006
- Last updated
- Sep 20, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D5963 | TX | Primary |
Addresses
Primary practice location
4001 West 15TH Street, Suite 375
Suite 100
Plano, TX 75093-5862
Mailing address
P.O. Box 961205
Fort Worth, TX 76161-1205
Phone (177) 408-4508
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D5963 | TX | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789862400000",
"number": "1760542229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 961205",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761611205",
"telephone_number": "177-408-4508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 WEST 15TH STREET, SUITE 375",
"address_2": "SUITE 100",
"city": "PLANO",
"state": "TX",
"postal_code": "750935862",
"telephone_number": "972-612-5346",
"fax_number": "972-599-1331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVILLENEUVE",
"first_name": "ALLAN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2026-09-20",
"certification_date": "2020-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "D5963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.