Allison Margaret McLane Dezarn, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8163 Issued in KY

Practice address

712 E Muhammad Ali Blvd
Louisville, KY 40202-1643

Phone

(502) 568-6972

Fax

(502) 996-8309

NPI assigned

Feb 15, 2006

Last updated

May 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Louisville, KY
  • NPI 1649732603
  Medicare reassignment NPD
• Family Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Louisville, KY
  • NPI 1104879469
  NPD
• Family Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Louisville, KY
  • NPI 1134172489
  NPD
• Family Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Louisville, KY
  • NPI 1205689064
  NPD
• Family Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Louisville, KY
  • NPI 1205889540
  NPD
• Family Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Louisville, KY
  • NPI 1518963230
  NPD
• Family Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Fairdale, KY
  • NPI 1871546119
  NPD
• Shawnee Christian Healthcare Center Inc

  • Community/Retail Pharmacy
  • Louisville, KY
  • NPI 1003407719
  NPD
• Shawnee Christian Healthcare Center Inc

  • Federally Qualified Health Center (FQHC)
  • Louisville, KY
  • NPI 1225333743

  General Practice

  NPD
• Park Duvalle Community Health Center, Inc

  dba Park DuValle at West End School

  • Federally Qualified Health Center (FQHC)
  • Louisville, KY
  • NPI 1497625263
  NPD (past)
• Park Duvalle Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Louisville, KY
  • NPI 1780698506
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1548234685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950244",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950244",
            "telephone_number": "502-953-4700",
            "fax_number": "502-772-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 E MUHAMMAD ALI BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021643",
            "telephone_number": "502-568-6972",
            "fax_number": "502-996-8309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLANE DEZARN",
        "first_name": "ALLISON",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "8163",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60002870",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Casey McKnight
• John William McKnight Jr., PHARMD
• Kalynn McKnight, RBT
• Stacy B McKnight, LCSW
• Elizabeth W McKune, ED.D.
• Anita McLaughlin
• Arthur J. McLaughlin II, M.D.
• Vanessa Lynne McLaughlin, COTA/L
• Mary Able McLaurine, SLP-CCC
• Stephanie Lynn McLaurine, APRN

• General Practice Dentistry in Louisville, KY
• Providers in Louisville, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.