Active NPI
James Allor Jr.
- Dentist
- Southfield, MI
National Provider Identifier
1366823478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901021533
- Practice address
- 17600 W 12 Mile Rd
Suite #3
Southfield, MI 48076-1910 - Phone
- (248) 569-6722
- NPI assigned
- Jun 15, 2015
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2901021533 | MI | Primary |
Addresses
Primary practice location
17600 W 12 Mile Rd
Suite #3
Southfield, MI 48076-1910
Mailing address
30988 Wheaton
Apt #320
New Hudson, MI 48165-9439
Phone (248) 866-0966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161114000227 | MI | Order and Referring Only - Other (Non-Physician) | 3173802279 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southfield Dental PLLC | Dentist | Past | Accepting new patients |
| Fortson Family Dentistry, P.C. | Past | Accepting new patients |
Organizations & group practices 2
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
- Lathrup Village, MI
- NPI 1215298468
-
- Dentist
- Southfield, MI
- NPI 1104067644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434326400000",
"number": "1366823478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30988 WHEATON",
"address_2": "APT #320",
"city": "NEW HUDSON",
"state": "MI",
"postal_code": "481659439",
"telephone_number": "248-866-0966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17600 W 12 MILE RD",
"address_2": "SUITE #3",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480761910",
"telephone_number": "248-569-6722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLOR",
"first_name": "JAMES",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-15",
"last_updated": "2015-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901021533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.