Organization Active NPI

Daniel J Allen DO PC

  • Family Medicine Physician
  • Meridian, ID
National Provider Identifier
1861995102
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Jan 26, 2021

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.