Individual provider Active NPI

James Allor Jr.

  • Dentist
  • Southfield, MI
National Provider Identifier
1366823478
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901021533 Issued in MI
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

Updated by the provider on Jun 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161114000227 MI Order and Referring Only - Other (Non-Physician) 3173802279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.