Nathan Allen, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

36435 Issued in TX

Practice address

11671 FM 2154 Rd Ste 400
College Station, TX 77845-4796

Phone

(979) 399-5101

NPI assigned

Jul 29, 2020

Last updated

Oct 21, 2021By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1063021723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SPRING LOOP APT 1308",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778402186",
            "telephone_number": "503-705-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11671 FM 2154 RD STE 400",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454796",
            "telephone_number": "979-399-5101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 N Earl Rudder Fwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bryan",
            "state": "TX",
            "postal_code": "778022930",
            "country_code": "US",
            "telephone_number": "979-307-6875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-29",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "36435",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "25046",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "36435",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amina Alikhan, MD
• Hannah Grace Allen, BA,RBT
• James Charner Allen, PA-C
• James Hiram Allen, MD
• Jason Carl Allen, D.C.
• Olivia Jacqueline Allen
• Samuel W. Allen, PA
• Allen's Nutech Inc. (NuTech, Inc.)
• Allergy Associates of Brazos Valley
• Allergy Associates of the Brazos Valley

• Dentist in College Station, TX
• Providers in College Station, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.