Joseph Benton Allen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9493 Issued in GA

Practice address

1336 Glenwood Ave SE
Atlanta, GA 30316-2048

Phone

(404) 688-0013

Fax

(404) 688-0010

NPI assigned

Nov 17, 2006

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• JBM-Dent, Inc.

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1699035345

  General Practice

  NPD (past)

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: joseph.allen.p3@direct.360care.nextgenshare.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2007.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1164596698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 GLENWOOD AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303162048",
            "telephone_number": "404-688-0013",
            "fax_number": "404-688-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 GLENWOOD AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303162048",
            "telephone_number": "404-688-0013",
            "fax_number": "404-688-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JOSEPH",
        "middle_name": "BENTON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "9493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9182221",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Allen
• Jeffrey D. Allen, MD
• Jennifer D Allen
• Jerad Allen, M.D.
• Jeremy Desean Allen
• Kayla Renee Allen, WHNP
• Kelsey Allen, M.D.
• Kendra Allen, M.D.
• Kennedy Allen, DPT
• Kevin M Allen, R.PH.

• All providers in Atlanta, GA
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.