Active NPI
James Richard Allen, DMD
- General Practice Dentistry
- Louisville, KY
National Provider Identifier
1386651248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3536
- Practice address
- 5403 Apache Rd
Louisville, KY 40207-1611 - Phone
- (502) 897-5044
- NPI assigned
- Aug 2, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3536 | KY | Primary |
Addresses
Primary practice location
5403 Apache Rd
Louisville, KY 40207-1611
Mailing address
9509 US Highway 42
Falsoft Building--Suite 105
Prospect, KY 40059-9290
Phone (502) 228-0915
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3536 | KY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386651248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9509 US HIGHWAY 42",
"address_2": "FALSOFT BUILDING--SUITE 105",
"city": "PROSPECT",
"state": "KY",
"postal_code": "400599290",
"telephone_number": "502-228-0915",
"fax_number": "502-228-0916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5403 APACHE RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402071611",
"telephone_number": "502-897-5044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "JAMES",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "3536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
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.