Active NPI
Tina Louise Allen, RDH, BS
- Dental Hygienist
- Raytown, MO
National Provider Identifier
1316002736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 003096
- Practice address
- 10016 E 67TH St
Raytown, MO 64133-5219 - Phone
- (816) 737-3400
- NPI assigned
- Dec 26, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 003096 | MO | Primary |
Addresses
Primary practice location
10016 E 67TH St
Raytown, MO 64133-5219
Mailing address
PO Box 9511
Raytown, MO 64133-0311
Phone (816) 358-4728
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003096 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missouri Dental Professionals, Richard Straus, DMD, PC | Past | Accepting new patients |
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
- Raytown, MO
- NPI 1992074769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316002736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9511",
"city": "RAYTOWN",
"state": "MO",
"postal_code": "641330311",
"telephone_number": "816-358-4728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10016 E 67TH ST",
"city": "RAYTOWN",
"state": "MO",
"postal_code": "641335219",
"telephone_number": "816-737-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "TINA",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "RDH, BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MO",
"license": "003096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raytown, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.