Allan Thomson Bacon III, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15161 Issued in MD

Practice address

1329 Pennsylvania Ave
Hagerstown, MD 21742-3157

Phone

(301) 791-0333

Fax

(301) 791-0337

NPI assigned

Sep 30, 2011

Sex

Male

Sole proprietor

No

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

Enrolled in MD

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

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.

• Dr Allan T Bacon II DDS PA

  • General Practice Dentistry
  • Hagerstown, MD
  • NPI 1508948316
  NPD (past) Authorized official
• Hagerstown Health LLC

  • Chiropractor
  • Hagerstown, MD
  • NPI 1629448519
  NPD (past)

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1588948194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 PENNSYLVANIA AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423157",
            "telephone_number": "301-791-0333",
            "fax_number": "301-791-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 PENNSYLVANIA AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423157",
            "telephone_number": "301-791-0333",
            "fax_number": "301-791-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACON",
        "first_name": "ALLAN",
        "middle_name": "THOMSON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-30",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammed Ashfaq Azam, MD
• Saba Wasim Aziz, M.D.
• Fahima Azizi, M.D.
• Jennifer Bacher, PHYSICIAN ASSISTANT
• Douglas Allen Bachtell II, DDS
• Maximilian Badoy, MD
• Rhamee Badr, MD
• Megan Baer, PHYSICAL THERAPY
• Muna A Bahsali, CRNP
• Deanna Bailey, NCAC II, SAP, CAC-AD

• General Practice Dentistry in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.