Thomas James Allen, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

9332582-9921 Issued in UT

Practice address

4020 S 700 E Ste 4
Salt Lake City, UT 84107-2579

Phone

(801) 266-4352

Fax

(801) 266-4803

NPI assigned

Aug 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Practice roles

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.

• Dr. Thomas J. Allen PC

  • Dental Clinic/Center
  • Salt Lake City, UT
  • NPI 1780121798
  NPD (past) Authorized official

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1447366273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 S 700 E STE 4",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072579",
            "telephone_number": "801-266-4352",
            "fax_number": "801-266-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 S 700 E STE 4",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072579",
            "telephone_number": "801-266-4352",
            "fax_number": "801-266-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "9332582-9921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard E Allen, M.D.
• Savannah Allen, LCSW
• Scott Allen
• Sidney Louis Allen
• Steven Nevin Allen, PHD
• Todd L Allen, MD
• Tracey Allen, NNP-BC
• Victoria Forgea Allen, PSYD
• Wesley Punzalan Allen
• Zachary Taylor Allen

• Dentist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.