Organization Active NPI

Richard E. Allen, D.D.S., Inc.

  • Dentist
  • Conroe, TX
National Provider Identifier
1164798955
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9019 Issued in TX
Legal business name
RICHARD E. ALLEN, D.D.S., INC.
Practice address
406 Longmire Rd
Conroe, TX 77304-2048
Phone
(936) 756-7611
Fax
(936) 756-7632
NPI assigned
Mar 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Authorized official

Name
Dr. Richard Earl Allen, D.D.S.NPI 1063557957
Title
President/Dentist
Phone
(936) 756-7611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 9019 TX Primary

Addresses

Primary practice location

406 Longmire Rd
Conroe, TX 77304-2048

Mailing address

406 Longmire Rd
Conroe, TX 77304-2048
Phone (936) 756-7611

Other identifiers 1

IdentifierTypeStateIssuer
090856801MedicaidTX

Other names 1

  • Dr. Richard E. Allen Other name

National Provider Directory

National Provider Directory

Locations

406 Longmire Rd
Conroe, TX 77304
Phone (713) 756-7611

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1164798955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 LONGMIRE RD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042048",
            "telephone_number": "936-756-7611",
            "fax_number": "936-756-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 LONGMIRE RD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042048",
            "telephone_number": "936-756-7611",
            "fax_number": "936-756-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD E. ALLEN, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "936-756-7611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "9019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090856801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Richard E. Allen",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.