Active NPI
Terrence L Allemang, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Tipp City, OH
National Provider Identifier
1497725766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 30016164
- Practice address
- 1487 W Main St
Tipp City, OH 45371-2803 - Phone
- (937) 667-0776
- Fax
- (937) 667-0854
- NPI assigned
- Jan 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 30016164 | OH | Primary |
Addresses
Primary practice location
1487 W Main St
Tipp City, OH 45371-2803
Mailing address
1487 W Main St
Tipp City, OH 45371-2803
Phone (937) 667-0776
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 460507033027 | Other | OH | CARESOURCE ID # |
| 000000264404 | Other | OH | ABCBS - PROVIDER # |
| 884352 | Other | OH | UNITED CONCORDIA |
| 0960607 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30016164 | OH | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1497725766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1487 W MAIN ST",
"city": "TIPP CITY",
"state": "OH",
"postal_code": "453712803",
"telephone_number": "937-667-0776",
"fax_number": "937-667-0854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1487 W MAIN ST",
"city": "TIPP CITY",
"state": "OH",
"postal_code": "453712803",
"telephone_number": "937-667-0776",
"fax_number": "937-667-0854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEMANG",
"first_name": "TERRENCE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "OH",
"license": "30016164",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE ID #",
"identifier": "460507033027",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ABCBS - PROVIDER #",
"identifier": "000000264404",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "884352",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0960607",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tipp City, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.