Individual provider Active NPI

Allen N. Haimes, D.D.S.

  • General Practice Dentistry
  • Seminole, FL
National Provider Identifier
1578586699
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7173 Issued in FL
Practice address
10710 Seminole Blvd
Suite#3
Seminole, FL 33778-3316
Phone
(727) 392-2296
Fax
(727) 397-9463
NPI assigned
Jul 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7173 FL Primary

Addresses

Primary practice location

10710 Seminole Blvd
Suite#3
Seminole, FL 33778-3316

Mailing address

10710 Seminole Blvd
Suite#3
Seminole, FL 33778-3316
Phone (727) 392-2296

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7173FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Allen N. Haimes D.D.S.,P.a. General Practice 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578586699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10710 SEMINOLE BLVD",
            "address_2": "SUITE#3",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337783316",
            "telephone_number": "727-392-2296",
            "fax_number": "727-397-9463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 SEMINOLE BLVD",
            "address_2": "SUITE#3",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337783316",
            "telephone_number": "727-392-2296",
            "fax_number": "727-397-9463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIMES",
        "first_name": "ALLEN",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "7173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

  • 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.