Active NPI
Lan Allen, D.M.D
- General Practice Dentistry
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D6558
- Practice address
- 1160 N Pantano Rd
Tucson, AZ 85715-5126 - Phone
- (520) 886-8503
- Fax
- (520) 885-6660
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D6558 | AZ | Primary |
Addresses
Primary practice location
1160 N Pantano Rd
Tucson, AZ 85715-5126
Mailing address
1160 N Pantano Rd
Tucson, AZ 85715-5126
Phone (520) 886-8503
Other practice location 1
10410 E Rita Ranch Rd
Tucson, AZ 85747-9035
Phone (520) 777-6001
Other practice location 2
1 E Congress St Ste 153
Tucson, AZ 85701-1726
Phone (520) 448-4477
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 |
|---|---|---|---|
| D6558 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aeris Dental Downtown LLC | General Practice | Current | Accepting new patients |
| Aeris Family Dental Rita Ranch | General Practice | Current | Accepting new patients |
| Aeris Family Dental Pantano | General Practice | Current | Accepting new patients |
Locations
1160 N Pantano Rd
Tucson, AZ 85715
Phone (520) 886-8503
1 E Congress St
Ste 153
Tucson, AZ 85701
Phone (520) 448-4477
10410 E Rita Ranch Rd
Tucson, AZ 85747
Phone (520) 777-6001
Organizations & group practices 3
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
- Tucson, AZ
- NPI 1154627404
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671062400000",
"number": "1205975299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 N PANTANO RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857155126",
"telephone_number": "520-886-8503",
"fax_number": "520-885-6660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 N PANTANO RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857155126",
"telephone_number": "520-886-8503",
"fax_number": "520-885-6660"
}
],
"practiceLocations": [
{
"address_1": "10410 E Rita Ranch Rd",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857479035",
"country_code": "US",
"telephone_number": "520-777-6001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 E Congress St Ste 153",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857011726",
"country_code": "US",
"telephone_number": "520-448-4477",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLEN",
"first_name": "LAN",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2022-12-15",
"certification_date": "2022-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D6558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.