Organization Active NPI

Gary W. Allen, DMD, P.C.

  • General Practice Dentistry
  • Vancouver, WA
National Provider Identifier
1396792131
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GARY W. ALLEN, DMD, P.C.
Practice address
14201 NE 20TH Ave Ste B200
Vancouver, WA 98686-6412
Phone
(360) 571-8181
Fax
(360) 573-4022
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Authorized official

Name
Mr. Kevin Boie
Title
Chief Fiancial Officer
Phone
(360) 571-8181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

14201 NE 20TH Ave Ste B200
Vancouver, WA 98686-6412

Mailing address

14201 NE 20TH Ave
Suite 2204
Vancouver, WA 98686-6410
Phone (360) 571-8181

Other names 1

  • Gentech Dentist Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dany Tse DMD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1396792131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 NE 20TH AVE",
            "address_2": "SUITE 2204",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986866410",
            "telephone_number": "360-571-8181",
            "fax_number": "360-573-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 NE 20TH AVE STE B200",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986866412",
            "telephone_number": "360-571-8181",
            "fax_number": "360-573-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY W. ALLEN, DMD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2019-07-23",
        "status": "A",
        "authorized_official_last_name": "BOIE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CHIEF FIANCIAL OFFICER",
        "authorized_official_telephone_number": "360-571-8181",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "Gentech Dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.