Jordan Kit Allen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.025368 Issued in OH

Practice address

319 Colegate Dr
Marietta, OH 45750-9558

Phone

(740) 374-7060

Fax

(740) 374-0023

NPI assigned

May 7, 2018

Last updated

May 7, 2018By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental Outreach, D. Austin Rehl, DDS, Peter E. Lovejoy, DDS, and Jarek

  • Dental Clinic/Center
  • Marietta, OH
  • NPI 1891359469
  NPD (past)
• Family Tree Dental D Austin Rehl DDS and Peter E Lovejoy DDS LLC

  dba Family Tree Dental Outreach

  • General Practice Dentistry
  • Marietta, OH
  • NPI 1124429212
  NPD (past)

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1053800904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 COLEGATE DR",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457509558",
            "telephone_number": "740-374-7060",
            "fax_number": "740-374-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 COLEGATE DR",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457509558",
            "telephone_number": "740-374-7060",
            "fax_number": "740-374-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JORDAN",
        "middle_name": "KIT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Agaba, MD
• Jennifer Diane Albrecht, M.ED., PCC, NCC
• Jody Alden, R.N.
• Heather Aldridge, LSW
• Amanda Sioux Alexander
• Kia Marie Allen
• Corey Alley, MD
• Als Hannas House Inc (Lancaster House Assisted Living)
• Maxwell Alsbach, PA
• Hussein Alsharif, DMD

• General Practice Dentistry in Marietta, OH
• Providers in Marietta, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.