Organization Active NPI

Jason L Allen DMD LLC

  • Dental Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1003434234
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JASON L ALLEN DMD LLC
Practice address
5147 Daggett Ave
Saint Louis, MO 63110-3009
Phone
(314) 776-7800
NPI assigned
Jul 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Authorized official

Name
Mrs. Melissa N Page
Title
Practice Manager
Phone
(314) 776-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5147 Daggett Ave
Saint Louis, MO 63110-3009

Mailing address

5147 Daggett Ave
Saint Louis, MO 63110-3009
Phone (314) 776-7800

National Provider Directory

National Provider Directory

Locations

5147 Daggett Ave
Saint Louis, MO 63110
Phone (314) 776-7800

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": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1003434234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5147 DAGGETT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631103009",
            "telephone_number": "314-776-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5147 DAGGETT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631103009",
            "telephone_number": "314-776-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON L ALLEN DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "314-776-7800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.