Allen and Hansen Dentistry Partnership

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

4333 Issued in OK

Legal business name

ALLEN AND HANSEN DENTISTRY PARTNERSHIP

Doing business as

Shepherd Mall Family Dentistry

Practice address

2401 NW 23Rd St
Oklahoma City, OK 73107-2442

Phone

(405) 942-0337

NPI assigned

Feb 6, 2018

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Jay Allen, DDS

Title

Partneer

Phone

(405) 844-6100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shepherd Mall Family Dentistry Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Lawrence Allen, D.D.S.

  • General Practice Dentistry
  • Oklahoma City, OK
  • NPI 1417278078
  NPD (past)
• Ryan Joel Flake, DDS

  • General Practice Dentistry
  • Edmond, OK
  • NPI 1972094001
  NPD (past)
• Michael Hansen, D.D.S.

  • Dentist
  • Edmond, OK
  • NPI 1255349312
  NPD (past)
• Ashley Noelle Thomas, RDH

  • Dental Hygienist
  • Edmond, OK
  • NPI 1124611215
  NPD (past)

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1013416940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 S SANTA FE AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730036281",
            "telephone_number": "405-844-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 NW 23RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731072442",
            "telephone_number": "405-942-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN AND HANSEN DENTISTRY PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PARTNEER",
        "authorized_official_telephone_number": "405-844-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OK",
            "license": "4333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "4333",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shepherd Mall Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Allbright
• Jacob Allbritton, PA-C
• Amanda B Allee
• Mark R Allee, MD
• Anthony Michael Alleman, M.D.
• Allen and Hansen Dentistry Partnership
• Allen Medical, PLLC
• April Allen- Nichols, LPN
• Kathy Sue Allen-Huffling, PT
• Matthew Cole Allen-Morgan

• Dental Clinic/Center in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Dental Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.