Individual provider Active NPI

Jerry Arthur Allen III, D.D.S.

  • General Practice Dentistry
  • Cary, NC
National Provider Identifier
1104277326
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10323 Issued in NC
Practice address
3100 NC 55 Hwy Ste 201
Cary, NC 27519-8427
Phone
(919) 363-3133
NPI assigned
Jun 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10323 NC Primary

Addresses

Primary practice location

3100 NC 55 Hwy Ste 201
Cary, NC 27519-8427

Mailing address

4413 Valley Forge Rd
Durham, NC 27705-6425
Phone (919) 221-5644

Other practice location 1

245 E Nc Highway 54 Ste 204
Durham, NC 27713-2552
Phone (919) 221-5644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10323NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jerry Allen DDS PA Current Accepting new patients

Locations

245 E NC Highway 54
Ste 204
Durham, NC 27713
Phone (919) 221-5644

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.

NPI Registry JSON

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1104277326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4413 VALLEY FORGE RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277056425",
            "telephone_number": "919-221-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NC 55 HWY STE 201",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275198427",
            "telephone_number": "919-363-3133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 E Nc Highway 54 Ste 204",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277132552",
            "country_code": "US",
            "telephone_number": "919-221-5644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JERRY",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-29",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.