Individual provider Active NPI

Daniel Merle Allen, DDS MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • El Paso, TX
National Provider Identifier
1124164272
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
0023072 Issued in TX
Practice address
824 E Redd Rd Ste 1-a
El Paso, TX 79912-7262
Phone
(915) 581-8159
Fax
(915) 833-7517
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X D-3769-OR ID
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 0023072 TX Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DE00009740 WA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 320651-9921 UT
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 19025473 IL
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 5677 - 15 WI

Addresses

Primary practice location

824 E Redd Rd Ste 1-a
El Paso, TX 79912-7262

Mailing address

824 E Redd Rd Ste 1-a
El Paso, TX 79912-7262
Phone (915) 581-8159

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
D-3769-ORIDMDOrthodontics and Dentofacial Orthopedic Dentist
19025473ILMDOrthodontics and Dentofacial Orthopedic Dentist
0023072TXMDOrthodontics and Dentofacial Orthopedic Dentist
320651-9921UTMDOrthodontics and Dentofacial Orthopedic Dentist
DE00009740WAMDOrthodontics and Dentofacial Orthopedic Dentist
5677 - 15WIMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1124164272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 E REDD RD STE 1-A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127262",
            "telephone_number": "915-581-8159",
            "fax_number": "915-833-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 E REDD RD STE 1-A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127262",
            "telephone_number": "915-581-8159",
            "fax_number": "915-833-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "DANIEL",
        "middle_name": "MERLE",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "ID",
            "license": "D-3769-OR",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "0023072",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE00009740",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": "320651-9921",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "19025473",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WI",
            "license": "5677 - 15",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; 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.