Active NPI
Harold David Allick, D.D.S.
- General Practice Dentistry
- Rockville, MD
National Provider Identifier
1407875271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7656
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 521613238 | Other | MD | TAX 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7656 | MD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dental Clinic/Center
- Rockville, MD
- NPI 1558891119
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.