Active NPI
Steven L Allen, DMD
- General Practice Dentistry
- Palestine, TX
National Provider Identifier
1114538469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 36503
- Practice address
- 419 Old Elkhart Rd Ste 110
Palestine, TX 75801-6047 - Phone
- (903) 723-4669
- Fax
- (903) 723-4845
- NPI assigned
- Aug 11, 2020
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 36503 | TX | Primary |
Addresses
Primary practice location
419 Old Elkhart Rd Ste 110
Palestine, TX 75801-6047
Mailing address
9114 Heritage Dr Apt a
Saint Louis, MO 63123-4148
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
| License | State | Type | Specialty |
|---|---|---|---|
| 36503 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palestine Dental PLLC | General Practice | Past | Accepting new patients |
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": "1597104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1114538469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9114 HERITAGE DR APT A",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631234148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 OLD ELKHART RD STE 110",
"city": "PALESTINE",
"state": "TX",
"postal_code": "758016047",
"telephone_number": "903-723-4669",
"fax_number": "903-723-4845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "STEVEN",
"middle_name": "L",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-11",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "36503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palestine, TX
- Modinat Abidemi Adewale
- Advance Neurology Care PA
- Ahm Action Home Health, LP
- Alan D. Shiller M.D., P.a.
- Allen Family Dentistry - Palestine PLLC
- Brandy Almasalmeh, LVN
- Anderson County Anesthesia Associates, PA
- Anderson Emergency Physicians PA
- Cassie R Anderson, PA-C
- Jacqueline Denise Anderson, SURGICAL ASSISTANT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.