Organization Active NPI

Stanley L Allen DDS,PA

  • General Practice Dentistry
  • Greensboro, NC
National Provider Identifier
1467649681
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4164 Issued in NC
Legal business name
STANLEY L ALLEN DDS,PA
Practice address
706 Summit Ave
Greensboro, NC 27405-7832
Phone
(336) 378-1150
Fax
(336) 273-7110
NPI assigned
Oct 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Mrs. Yvonne Allen
Title
Office MGR.
Phone
(336) 378-1150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4164 NC Primary

Addresses

Primary practice location

706 Summit Ave
Greensboro, NC 27405-7832

Mailing address

PO Box 21754
Greensboro, NC 27420-1754
Phone (336) 378-1150

Other identifiers 1

IdentifierTypeStateIssuer
8990892MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1467649681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21754",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274201754",
            "telephone_number": "336-378-1150",
            "fax_number": "336-273-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 SUMMIT AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274057832",
            "telephone_number": "336-378-1150",
            "fax_number": "336-273-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY L ALLEN DDS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "OFFICE MGR.",
        "authorized_official_telephone_number": "336-378-1150",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8990892",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.