Organization Active NPI

Allenside Family Practice

  • Family Medicine Physician
  • Akron, OH
National Provider Identifier
1871570622
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34004672 Issued in OH
Legal business name
ALLENSIDE FAMILY PRACTICE
Practice address
2417 Manchester Rd
Akron, OH 44314
Phone
(330) 848-3377
Fax
(330) 848-3325
NPI assigned
Dec 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Dean Patrick Rich, DONPI 1710925557
Title
Physician
Phone
(330) 848-3377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 34004672 OH Primary

Addresses

Primary practice location

2417 Manchester Rd
Akron, OH 44314

Mailing address

2417 Manchester Rd
Akron, OH 44314
Phone (330) 848-3377

Other identifiers 1

IdentifierTypeStateIssuer
0832808MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060106000874 OH Part B Supplier - Clinic/Group Practice 2567485378 Receives reassigned benefits from 1 practitioner
Practice locations: Akron, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0712506Allenside Family Practice2417 Manchester Road, Akron, OH 44314Certificate of waiverJan 9, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1871570622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 MANCHESTER RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44314",
            "telephone_number": "330-848-3377",
            "fax_number": "330-848-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 MANCHESTER RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44314",
            "telephone_number": "330-848-3377",
            "fax_number": "330-848-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLENSIDE FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "330-848-3377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34004672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0832808",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.