Active NPI
Henry Todd Allen, DDS
- General Practice Dentistry
- Leonardtown, MD
National Provider Identifier
1174786362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10575
- Practice address
- 22690 Washington Street
Leonardtown, MD 20650 - Phone
- (301) 997-1200
- Fax
- (301) 997-1240
- NPI assigned
- Jul 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Leonardtown, MD
- NPI 1679686570
General Practice
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 |
|---|---|---|---|
| 10575 | MD | MD | Clinical Social Worker |
| 0401008109 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Towne Dentistry - Todd Allen DDS PA | General Practice | Past | Accepting new patients |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10575 | MD | Primary |
| General Practice Dentistry | 1223G0001X | 0401008109 | VA |
Addresses
NPPES NPI RegistryPrimary practice location
22690 Washington Street
Leonardtown, MD 20650
Mailing address
PO Box 1510
Leonardtown, MD 20650
Phone (301) 997-1200
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| DG20T0 | Other | BLUE SHIELD OF MD | |
| 602994 | Other | UNITED CONCORDIA CO INC |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2008.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215475200000",
"number": "1174786362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1510",
"city": "LEONARDTOWN",
"state": "MD",
"postal_code": "20650",
"telephone_number": "301-997-1200",
"fax_number": "301-997-1240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22690 WASHINGTON STREET",
"city": "LEONARDTOWN",
"state": "MD",
"postal_code": "20650",
"telephone_number": "301-997-1200",
"fax_number": "301-997-1240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "HENRY",
"middle_name": "TODD",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-08",
"last_updated": "2008-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "10575",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401008109",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF MD",
"identifier": "DG20T0",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA CO INC",
"identifier": "602994",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leonardtown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.