MEDICARE: DR. DAVID PRESLEY ALLEN D.P.M

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	DPM.200052	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811126170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID PRESLEY ALLEN D.P.M

Provider Business Mailing Address
First Line	:	PO BOX 2036
Second Line	:
City	:	PONCHATOULA
State	:	LA
Zip	:	70454-2036
Country	:	US
Telephone Number	:	985-215-5618
Fax Number	:	985-732-0100

Provider Business Practice Location Address
First Line	:	165 W OAK ST
Second Line	:
City	:	PONCHATOULA
State	:	LA
Zip	:	70454-3328
Country	:	US
Telephone Number	:	985-215-5618
Fax Number	:	985-732-0100

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2009
Last Update Date	:	01/19/2026

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