Active NPI
Marc E Allen Ms I PLLC
- General Practice Dentistry
- Huntersville, NC
National Provider Identifier
1316639446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MARC E ALLEN MS I PLLC
- Practice address
- 223 Gilead Rd
Huntersville, NC 28078-6897 - Phone
- (704) 380-5705
- NPI assigned
- May 25, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shawna Allen
- Title
- Administrator
- Phone
- (704) 380-5705
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
223 Gilead Rd
Huntersville, NC 28078-6897
Mailing address
223 Gilead Rd
Huntersville, NC 28078-6897
Phone (704) 380-5705
Other names 1
- Care Source Mobile
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695600000000",
"number": "1316639446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 GILEAD RD",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280786897",
"telephone_number": "704-380-5705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 GILEAD RD",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280786897",
"telephone_number": "704-380-5705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARC E ALLEN MS I PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-25",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "SHAWNA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "704-380-5705"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Care Source Mobile",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.