Active NPI
William Allen, DMD
- Dentist
- Charlotte, NC
National Provider Identifier
1104205889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10033
- Practice address
- 1000 Queens Rd
Charlotte, NC 28207-1860 - Phone
- (704) 332-2532
- NPI assigned
- May 27, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10033 | NC | Primary |
Addresses
Primary practice location
1000 Queens Rd
Charlotte, NC 28207-1860
Mailing address
1000 Queens Rd
Charlotte, NC 28207-1860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160802000216 | NC | Order and Referring Only - Dentist | 6800189689 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myers Park Dental Partners | Current | Accepting new patients |
Locations
1000 Queens Rd
Charlotte, NC 28207
Phone (704) 332-2532
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Charlotte, NC
- NPI 1255960878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627948800000",
"number": "1104205889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 QUEENS RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 QUEENS RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071860",
"telephone_number": "704-332-2532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "WILLIAM",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-27",
"last_updated": "2021-08-03",
"certification_date": "2021-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "10033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
- Tilia Allen, FNP
- Tyra Allen
- Tyshia Allen, DC
- Venus E. Allen, LCSWA, LCASA, CCM
- Whitney Elizabeth Allen, MA, CCC-SLP
- Allergenuity Health Associates PLLC (Allergenuity Health)
- Allergy and Asthma Care of Blakeney, PLLC
- Allergy Asthma & Immunology Relief, PA
- Alles & Associates North Carolina (Ideal Dental Charlotte Steel Creek)
- Alles DDS Mallard Creek PLLC (Ideal Dental Research Park)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.