Organization Active NPI

G. Allen D.D.S., and N. Balachandran D.D.S., Inc

  • Pediatric Dentistry
  • San Marcos, CA
National Provider Identifier
1467840892
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
56992 Issued in CA
Legal business name
G. ALLEN D.D.S., AND N. BALACHANDRAN D.D.S., INC
Practice address
955 Boardwalk
Suite 301
San Marcos, CA 92078-2659
Phone
(760) 593-4640
NPI assigned
Jan 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Authorized official

Name
Dr. Gregory Philip Allen II, D.D.S
Title
Ceo
Phone
(760) 593-4640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 56992 CA Primary

Addresses

Primary practice location

955 Boardwalk
Suite 301
San Marcos, CA 92078-2659

Mailing address

955 Boardwalk
Suite 301
San Marcos, CA 92078-2659
Phone (760) 593-4640

National Provider Directory

National Provider Directory

Locations

955 Boardwalk
Ste 301
San Marcos, CA 92078
Phone (760) 593-4640

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1467840892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 BOARDWALK",
            "address_2": "SUITE 301",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782659",
            "telephone_number": "760-593-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 BOARDWALK",
            "address_2": "SUITE 301",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782659",
            "telephone_number": "760-593-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. ALLEN D.D.S., AND N. BALACHANDRAN D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-593-4640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "56992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.