Allen Forest Crooms DDS PA

Primary specialty

DentistTaxonomy code 122300000X

License

22D100662900 Issued in NJ

Legal business name

ALLEN FOREST CROOMS DDS PA

Practice address

814 South Tenth Street
Newark, NJ 07108-1501

Phone

(973) 824-9085

Fax

(973) 621-6447

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Allen Forest Crooms, DDS PA

Title

President Treasurer

Phone

(973) 824-9085

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598880296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 SOUTH TENTH STREET",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071081501",
            "telephone_number": "973-824-9085",
            "fax_number": "973-621-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 SOUTH TENTH STREET",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071081501",
            "telephone_number": "973-824-9085",
            "fax_number": "973-621-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN FOREST CROOMS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROOMS",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "FOREST",
        "authorized_official_title_or_position": "PRESIDENT TREASURER",
        "authorized_official_telephone_number": "973-824-9085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS PA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D100662900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA DMO",
            "identifier": "111225",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BCBS",
            "identifier": "1009778",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2688808",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Brittany Vorndran Allard, ATC
• Allcare Pain & Rehab of Newark
• Ileola Miriam Allen-Jamison
• Isabel Allen-Steinfeld, MD
• David Allen, D.C.
• Michele Allen
• Allied Chiropractic & Rehab Center, P.C.

• Dentist in Newark, NJ
• Providers in Newark, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.