Organization Active NPI

Allcare Dental & Dentures

  • Dentist
  • Johnson City, TN
National Provider Identifier
1053552307
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8756 Issued in TN
Legal business name
ALLCARE DENTAL & DENTURES
Practice address
2301 N Roan St
Johnson City, TN 37601-1701
Phone
(423) 477-2233
Fax
(423) 477-8301
NPI assigned
Mar 17, 2009
Last updated
Mar 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Authorized official

Name
Mr. Robert S Bates, DDS
Title
Owner
Phone
(716) 204-4999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 8756 TN Primary

Addresses

Primary practice location

2301 N Roan St
Johnson City, TN 37601-1701

Mailing address

8205 Main St
Suite 8
Williamsville, NY 14221-6053
Phone (716) 204-4999

National Provider Directory

National Provider Directory
Tax ID family
Allcare Dental Dentures3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2301 N Roan St
Johnson City, TN 37601
Phone (423) 477-2233

NPI Registry JSON

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1053552307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 MAIN ST",
            "address_2": "SUITE 8",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216053",
            "telephone_number": "716-204-4999",
            "fax_number": "716-632-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 N ROAN ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011701",
            "telephone_number": "423-477-2233",
            "fax_number": "423-477-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLCARE DENTAL & DENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-204-4999",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "8756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.