Carolyn B Allen, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN22596 Issued in FL

Practice address

5021 NW 34TH Blvd Ste a
Gainesville, FL 32605-1191

Phone

(229) 834-6659

NPI assigned

Jun 5, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1407385339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 NW 34TH BLVD STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326051191",
            "telephone_number": "229-834-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 NW 34TH BLVD STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326051191",
            "telephone_number": "229-834-6659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13794 Beach Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322241228",
            "country_code": "US",
            "telephone_number": "904-551-9188",
            "fax_number": "904-647-9074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "CAROLYN",
        "middle_name": "B",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN22596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashara Allen
• Barbara Joeann Allen, ARNP
• Beverly Allen
• Brandon Russell Allen, MD
• Brenita S Allen, LMT
• Courtney Braddock Allen, P.A-C
• Drake Southwick Allen, DDS
• Dwight Allen, DPT
• Emily Allen
• Erica Lenore Allen, PHARMD

• Dentist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.