James D. Allen, D.D.S., F.A.C.P
Individual provider Active NPI Prosthodontics · Brentwood, TN
NPI 1124069604 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124069604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prosthodontics 1223P0700X
- License
- DS0000004427 (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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190618001473 | TN | Order and Referring Only - Dentist |
0042543423 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS0000004427 | TN | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Sleep Apnea Solutions, PLLC | Past |
Accepting new patients | |
| Middle Tennessee Prosthodontics, LLC | Prosthodontics | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DS0000004427 | TN | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 461361 | Other | TN | UNITED CONCORDIA PROVIDER |
| 0163882 | Other | TN | BCBS PROVIDER ID NUMBER |
Other providers in Brentwood, TN
- Alison Moore Counseling PLLC
- Ramsey Alizadeh
- All About Care LLC
- Kathleen Marie Allbritten
- Aynna Elizabeth Allen
- Janet Debusk Allen
- Lauren Allen
- Michael L Allen
- Taylor Alley
- Alliance Healthcare Corp
All providers in Brentwood, TN · Prosthodontics in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.