Active NPI
F. Vincent Allison III, DDS, PA
- General Practice Dentistry
- Durham, NC
National Provider Identifier
1053532283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5656
- Legal business name
- F. VINCENT ALLISON III, DDS, PA
- Practice address
- 6208 Fayetteville Rd
Suite 102
Durham, NC 27713-6286 - Phone
- (919) 806-1996
- Fax
- (919) 484-8487
- NPI assigned
- May 2, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ferdinand Vincent Allison III, DDS
- Title
- President
- Phone
- (919) 806-1996
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5656 | NC | Primary |
Addresses
Primary practice location
6208 Fayetteville Rd
Suite 102
Durham, NC 27713-6286
Mailing address
6208 Fayetteville Rd
Suite 102
Durham, NC 27713-6286
Phone (919) 806-1996
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8990196 | Medicaid | NC | |
| 90196 | Other | NC | BCBS OF NC |
National Provider Directory
National Provider DirectoryLocations
6208 Fayetteville Rd
Ste 102
Durham, NC 27713
Phone (919) 806-1996
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- Durham, NC
- NPI 1265406789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1053532283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6208 FAYETTEVILLE RD",
"address_2": "SUITE 102",
"city": "DURHAM",
"state": "NC",
"postal_code": "277136286",
"telephone_number": "919-806-1996",
"fax_number": "919-484-8487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6208 FAYETTEVILLE RD",
"address_2": "SUITE 102",
"city": "DURHAM",
"state": "NC",
"postal_code": "277136286",
"telephone_number": "919-806-1996",
"fax_number": "919-484-8487"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "F. VINCENT ALLISON III, DDS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ALLISON",
"authorized_official_first_name": "FERDINAND",
"authorized_official_middle_name": "VINCENT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-806-1996",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "5656",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8990196",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "90196",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.