Individual provider Active NPI

James D. Allen, D.D.S., F.A.C.P

  • Prosthodontics
  • Brentwood, TN
National Provider Identifier
1124069604
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DS0000004427 Issued in TN
Practice address
1177 Old Hickory Blvd
Suite 102
Brentwood, TN 37027-4223
Phone
(615) 690-5400
Fax
(615) 690-5404
NPI assigned
Jun 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DS0000004427 TN Primary

Addresses

Primary practice location

1177 Old Hickory Blvd
Suite 102
Brentwood, TN 37027-4223

Mailing address

1177 Old Hickory Blvd
Suite 102
Brentwood, TN 37027-4223
Phone (615) 690-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20190618001473 TN Order and Referring Only - DentistPractitioner - Dentist 0042543423

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS0000004427TNMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Tennessee Prosthodontics, LLC Prosthodontics PastSince Apr 6, 2025 Accepting new patients
Tennessee Sleep Apnea Solutions, PLLC PastSince Aug 11, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124069604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 OLD HICKORY BLVD",
            "address_2": "SUITE 102",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274223",
            "telephone_number": "615-690-5400",
            "fax_number": "615-690-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 OLD HICKORY BLVD",
            "address_2": "SUITE 102",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274223",
            "telephone_number": "615-690-5400",
            "fax_number": "615-690-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JAMES",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.D.S., F.A.C.P",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TN",
            "license": "DS0000004427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.