Joanne J Allen, DDA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1187 Issued in NM

Practice address

4830 Juan Tabo NE
Suite K
Albuquerque, NM 87112-2682

Phone

(505) 293-7611

Fax

(505) 296-1151

NPI assigned

Nov 15, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Alicia a. Abeyta DDS LLC

  • Dentist
  • Albuquerque, NM
  • NPI 1881825214
  NPD (past)
• Laura Snyder DDS LLC

  • Dental Clinic/Center
  • Albuquerque, NM
  • NPI 1164311627
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477625366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 JUAN TABO BLVD NE",
            "address_2": "SUITE K",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112690",
            "telephone_number": "505-293-7611",
            "fax_number": "505-296-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 JUAN TABO NE",
            "address_2": "SUITE K",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122682",
            "telephone_number": "505-293-7611",
            "fax_number": "505-296-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JOANNE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "1187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edna Allen, LPN
• Elizabeth Allen, LMHC
• Erika Allen
• Gary Allen, DOM
• Gray L Allen, MD
• Judith Lu Allen, CNP
• Kaia Grace Allen
• Kasandra Michelle Allen, CPSW
• Kathleen M Allen, MD
• Kristi L Allen, SPCH PATH

• General Practice Dentistry in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• General Practice Dentistry in New Mexico

• 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.