Active NPI
Richard E. Allen, D.D.S., Inc.
- Dentist
- Conroe, TX
National Provider Identifier
1164798955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9019
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 090856801 | Medicaid | TX |
Other names 1
- Dr. Richard E. Allen
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Conroe, TX
- NPI 1063557957
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.