Active NPI
Crystal Cunningham Allen, DDS
- Dentist
- Greenville, NC
National Provider Identifier
1154760874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9551
- Practice address
- 1100 Professional Dr
Greenville, NC 27858-5989 - Phone
- (757) 329-4835
- NPI assigned
- Jun 15, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 9551 | NC | Primary |
Addresses
Primary practice location
1100 Professional Dr
Greenville, NC 27858-5989
Mailing address
1100 Professional Dr
Greenville, NC 27858-5989
Phone (757) 329-4835
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 |
|---|---|---|---|
| 9551 | NC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371254400000",
"number": "1154760874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 PROFESSIONAL DR",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585989",
"telephone_number": "757-329-4835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 PROFESSIONAL DR",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585989",
"telephone_number": "757-329-4835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "CRYSTAL",
"middle_name": "CUNNINGHAM",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-15",
"last_updated": "2013-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "9551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.