Hilary Kate Allen, DDS
Individual provider Active NPI Dentist · Clovis, NM
NPI 1568022044 · NPPES record last updated Jan 29, 2024
Key facts
- NPI
- 1568022044
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 30.027354 (OH)
- Practice address
- 4017 N Prince St
Clovis, NM 88101-9705 - Phone
- (888) 988-4066
- NPI assigned
- Jun 17, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240702003013 | OH | Practitioner - Dentist | 3375087240 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.027354 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio North East Health Systems Inc | Dentist | Current |
Accepting new patients |
| Familia Dentalclovis LLC | Current |
Accepting new patients | |
| Ohio North East Health Systems, Inc. | Current |
Accepting new patients | |
| Ohio North East Health Systems, Inc. | Current | Accepting new patients | |
| Care Alliance | Past | Accepting new patients | |
| Ohio North East Health Systems, Inc | Past | Accepting new patients |
Locations
2050 E Algonquin Rd
Ste 610
Schaumburg, IL 60173
Phone (847) 701-1457
4017 N Prince St
Clovis, NM 88101
Phone (575) 762-2757
175 E Broad St
Newton Falls, OH 44444
Phone (330) 747-9551
716 Tod Ave SW
Warren, OH 44485
Phone (330) 373-0222
1977 Niles Rd SE
Warren, OH 44484
Phone (330) 372-5800
726 Wick Ave
Youngstown, OH 44505
Phone (330) 747-2330
Interoperability endpoints
- hillary.allen.p1@direct.oho.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30.027354 | OH | Yes |
Addresses
Primary practice location
4017 N Prince St
Clovis, NM 88101-9705
Mailing address
2050 E Algonquin Rd Ste 610
Schaumburg, IL 60173-4166
Other practice location 1
729 W US Highway 50
Pueblo, CO 81008-1603
Phone (719) 542-4000
Other providers in Clovis, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.