Individual provider Active NPI

Allen Hui Dare, DDS

  • General Practice Dentistry
  • Oakland, CA
National Provider Identifier
1346576659
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
57586 Issued in CA
Practice address
1016 Jackson St
Oakland, CA 94607-4812
Phone
(510) 410-5102
NPI assigned
Oct 20, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 57586 CA Primary

Addresses

Primary practice location

1016 Jackson St
Oakland, CA 94607-4812

Mailing address

1016 Jackson St
Oakland, CA 94607-4812
Phone (510) 410-5102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190225001574 CA Practitioner - Oral SurgeryPractitioner - AnesthesiologyPractitioner - PathologyPractitioner - Diagnostic RadiologyPractitioner - Maxillofacial Surgery 3577827278 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
57586CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Maria T Alarcon DDS Dental Corporation CurrentSince Jan 12, 2019 Accepting new patients

Locations

19682 Hesperian Blvd
Ste 208
Hayward Acres, CA 94541
Phone (510) 253-2350

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.

NPI Registry JSON

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255996800000",
    "number": "1346576659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 JACKSON ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074812",
            "telephone_number": "510-410-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 JACKSON ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074812",
            "telephone_number": "510-410-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARE",
        "first_name": "ALLEN",
        "middle_name": "HUI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.