Andon Dan Allen, LD

Primary specialty

DenturistTaxonomy code 122400000X

License

00000017 Issued in WA

Practice address

6226 196TH St SW
2B
Lynnwood, WA 98036-5959

Phone

(425) 670-8670

Fax

(425) 670-0491

NPI assigned

Apr 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437376068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5527 6TH AVE NW",
            "city": "TULALIP",
            "state": "WA",
            "postal_code": "982716531",
            "telephone_number": "360-657-3315",
            "fax_number": "425-670-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6226 196TH ST SW",
            "address_2": "2B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365959",
            "telephone_number": "425-670-8670",
            "fax_number": "425-670-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ANDON",
        "middle_name": "DAN",
        "credential": "LD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "WA",
            "license": "00000017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5038724",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danya Alghanmi
• Dalia Ali
• All Seasons Therapy PLLC
• All Shades of Blue, PLLC
• Allen Dental
• Julie Kay Allen, OT
• Olivia Allen
• Savana Louise Allen
• Lauren Allison
• Isabella Medina Almvig

• Denturist in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Denturist in Washington

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.