Organization Active NPI

Dr Rodney Alles Chartered PLLC

  • Dentist
  • University Place, WA
National Provider Identifier
1013688258
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DR RODNEY ALLES CHARTERED PLLC
Practice address
3626 Market PL W Ste 101
University Place, WA 98466-4340
Phone
(253) 250-4986
Fax
(253) 648-1510
NPI assigned
Sep 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Authorized official

Name
Rodney Alles, DDS
Title
Owner
Phone
(972) 331-8079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3626 Market PL W Ste 101
University Place, WA 98466-4340

Mailing address

12770 Merit Dr Ste 850
Dallas, TX 75251-1438
Phone (972) 331-8079

Other names 1

  • IDEAL DENTAL - UNIVERSITY PLACE Doing business as

National Provider Directory

National Provider Directory

Locations

12770 Merit Dr
Ste 850
Dallas, TX 75251
Phone (832) 269-8222

3626 Market Pl W
Ste 101
University Place, WA 98466
Phone (253) 250-4986

3626 Market Pl W
University Place, WA 98466

Practitioners & affiliated clinicians

Practitioners 2

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": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1013688258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12770 MERIT DR STE 850",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511438",
            "telephone_number": "972-331-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 MARKET PL W STE 101",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664340",
            "telephone_number": "253-250-4986",
            "fax_number": "253-648-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RODNEY ALLES CHARTERED PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "ALLES",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-331-8079",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IDEAL DENTAL - UNIVERSITY PLACE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IDEAL DENTAL - UNIVERSITY PLACE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in University Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.