Individual provider Active NPI

Britton Nicole Allen, DMD

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1417516311
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35102 Issued in TX
Practice address
810 S General McMullen Dr Ste 108
San Antonio, TX 78237-3163
Phone
(210) 485-3377
NPI assigned
Jun 13, 2019
Last updated
Jun 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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 35102 TX Primary

Addresses

Primary practice location

810 S General McMullen Dr Ste 108
San Antonio, TX 78237-3163

Mailing address

9931 Hyatt Resort Dr Apt 1518
San Antonio, TX 78251-4179
Phone (702) 349-0720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35102TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
South West Freeway Family Dentistry, PLLC General Practice PastSince Dec 27, 2020 Accepting new patients
Synthesis Renovo Dentistry, PLLC General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1417516311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9931 HYATT RESORT DR APT 1518",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514179",
            "telephone_number": "702-349-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 S GENERAL MCMULLEN DR STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782373163",
            "telephone_number": "210-485-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "BRITTON",
        "middle_name": "NICOLE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.