Active NPI
Daniel Merle Allen, DDS MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- El Paso, TX
National Provider Identifier
1124164272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 0023072
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| D-3769-OR | ID | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 19025473 | IL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 0023072 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 320651-9921 | UT | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| DE00009740 | WA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 5677 - 15 | WI | MD | Orthodontics 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.