Individual provider Active NPI

Megan Allred, DMD

  • Dentist
  • Hendersonville, TN
National Provider Identifier
1417399734
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9958 Issued in TN
Practice address
131 Maple Row Blvd
Hendersonville, TN 37075-3880
Phone
(615) 905-1763
NPI assigned
Jul 28, 2013
Last updated
Feb 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9958 TN Primary

Addresses

Primary practice location

131 Maple Row Blvd
Hendersonville, TN 37075-3880

Mailing address

131 Maple Row Blvd
Hendersonville, TN 37075-3880
Phone (615) 905-1763

Other names 1

  • Megan Whitt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20160620000522 TN Order and Referring Only - DentistPractitioner - Dentist 3678864899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9958TNMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1374969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1417399734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 MAPLE ROW BLVD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753880",
            "telephone_number": "615-905-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MAPLE ROW BLVD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753880",
            "telephone_number": "615-905-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLRED",
        "first_name": "MEGAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-28",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "9958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "WHITT",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.