James Douglas Allen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3490 Issued in AR

Practice address

1703 S Whitehead Dr
Dewitt, AR 72042

Phone

(870) 946-2013

Fax

(870) 946-1281

NPI assigned

Dec 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
• MS PPO C-SNP
• devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
• TN PPO C-SNP
• MS PPO D-SNP

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013076397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO DRAWER 512",
            "address_2": "1703 S WHITEHEAD DR",
            "city": "DEWITT",
            "state": "AR",
            "postal_code": "72042",
            "telephone_number": "870-946-2013",
            "fax_number": "870-946-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 S WHITEHEAD DR",
            "city": "DEWITT",
            "state": "AR",
            "postal_code": "72042",
            "telephone_number": "870-946-2013",
            "fax_number": "870-946-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JAMES",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baptist Health Hospitals (Baptist Health Family Clinic DeWitt)
• Jayna Barnett, COTA
• Ashtyn Brooke Beck, LAC
• Suzette Nicole Boyd, APN
• Stanley Wayne Burleson, MD

• General Practice Dentistry in De Witt, AR
• Providers in De Witt, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.