Louise Allen

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS003782 Issued in TN

Practice address

278 German Oak Dr.
Cordova,, TN 38018-7220

Phone

(901) 753-9696

Fax

(901) 753-0760

NPI assigned

Oct 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Louise Rutkowski Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437243995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 STONEWALL ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38112",
            "telephone_number": "901-272-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 GERMAN OAK DR.",
            "city": "CORDOVA,",
            "state": "TN",
            "postal_code": "380187220",
            "telephone_number": "901-753-9696",
            "fax_number": "901-753-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "LOUISE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS003782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOUISE",
            "last_name": "RUTKOWSKI",
            "prefix": "MISS",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ali Kaplan PHD, LLC
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• All Day Screening, LLC
• Janice C Allen
• Kadasha Allen
• Allycare LLC
• Stephen Craig Alsobrook, D.D.S.
• Jamesa Yvette Alston, MS,BCBA
• Amazing Hearts Home Care
• American Family Dentistry of Memphis, PC (American Family Dentistry Cordova)

• General Practice Dentistry in Cordova, TN
• Providers in Cordova, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.