Active NPI
Daniel J Allen DO PC
- Family Medicine Physician
- Meridian, ID
National Provider Identifier
1861995102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- DANIEL J ALLEN DO PC
- Practice address
- 39 W Pine Ave Ste B20
Meridian, ID 83642-2412 - Phone
- (208) 286-8670
- Fax
- (888) 990-2969
- NPI assigned
- Mar 13, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel J Allen, DO
- Title
- Owner
- Phone
- (208) 739-2661
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
39 W Pine Ave Ste B20
Meridian, ID 83642-2412
Mailing address
PO Box 1259
Meridian, ID 83680-1259
Phone (208) 286-8670
National Provider Directory
National Provider DirectoryLocations
46 N Midland Blvd
Nampa, ID 83651
Phone (208) 446-7803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611619200000",
"number": "1861995102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1259",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836801259",
"telephone_number": "208-286-8670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 W PINE AVE STE B20",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836422412",
"telephone_number": "208-286-8670",
"fax_number": "888-990-2969"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIEL J ALLEN DO PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-13",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-739-2661",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.