Benjamin E Allen, DMD MD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D11882 Issued in MN

Practice address

6545 France Ave S
#381
Edina, MN 55435-2131

Phone

(612) 232-4888

NPI assigned

Feb 22, 2006

Last updated

Mar 28, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Victoria Orthodontics, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Victoria, MN
  • NPI 1215874912
  NPD Authorized official
• Ozark Oral Surgery Group, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Rogers, AR
  • NPI 1548635048
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1295700383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 FRANCE AVE S",
            "address_2": "#381",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352131",
            "telephone_number": "612-232-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 FRANCE AVE S",
            "address_2": "#381",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352131",
            "telephone_number": "612-232-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "BENJAMIN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DMD MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "D11882",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MN",
            "license": "49648",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "647671600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sagal Sadad Ali
• Samira Abdisamed Ali
• Bashar Alkabbani, D.D.S.
• All Nations Home Care Health Services A1 L.L.C
• Allegiant Services LLC
• Carleton Allen, MD
• Cathy Ann Allen
• Michael Scott Allen, MD
• Payton Allen, PT, DPT
• Rachel Elizabeth Allgor, AU.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Edina, MN
• Providers in Edina, MN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.