Individual provider Active NPI

Tonya Marie Allen, D.D.S.

  • General Practice Dentistry
  • Lindale, TX
National Provider Identifier
1184831240
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21302 Issued in TX
Practice address
18663 US Highway 69 N
Lindale, TX 75771-6080
Phone
(903) 882-5700
Fax
(903) 882-5709
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
Yes

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

LicenseStateTypeSpecialty
21302TXMDGeneral Practice Dentistry

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 21302 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

18663 US Highway 69 N
Lindale, TX 75771-6080

Mailing address

18663 US Highway 69 N
Lindale, TX 75771-6080
Phone (903) 882-5700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 6, 2013.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378425600000",
    "number": "1184831240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18663 US HIGHWAY 69 N",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757716080",
            "telephone_number": "903-882-5700",
            "fax_number": "903-882-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18663 US HIGHWAY 69 N",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757716080",
            "telephone_number": "903-882-5700",
            "fax_number": "903-882-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "TONYA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2013-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindale, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.

Verify at the official NPI Registry.