Individual provider Active NPI

Harold David Allick, D.D.S.

  • General Practice Dentistry
  • Rockville, MD
National Provider Identifier
1407875271
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7656 Issued in MD
Practice address
11125 Rockville Pike
Suite 204
Rockville, MD 20852-3142
Phone
(301) 881-6666
Fax
(301) 881-2813
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7656 MD Primary

Addresses

Primary practice location

11125 Rockville Pike
Suite 204
Rockville, MD 20852-3142

Mailing address

11125 Rockville Pike
Suite 204
Rockville, MD 20852-3142
Phone (301) 881-6666

Other identifiers 1

IdentifierTypeStateIssuer
521613238OtherMDTAX ID#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7656MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Expert Advice LLC Past Accepting new patients

Organizations & group practices 1

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1407875271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11125 ROCKVILLE PIKE",
            "address_2": "SUITE 204",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523142",
            "telephone_number": "301-881-6666",
            "fax_number": "301-881-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11125 ROCKVILLE PIKE",
            "address_2": "SUITE 204",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523142",
            "telephone_number": "301-881-6666",
            "fax_number": "301-881-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLICK",
        "first_name": "HAROLD",
        "middle_name": "DAVID",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "7656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "521613238",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.