Individual provider Active NPI

Allyson Hollenbeck

  • Dentist
  • Lexington, MO
National Provider Identifier
1609663608
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2025012442 Issued in MO
Practice address
811 S Business Highway 13 Ste a
Lexington, MO 64067-1572
Phone
(660) 251-6440
NPI assigned
Apr 22, 2025
Last updated
Jun 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2025012442 MO Primary

Addresses

Primary practice location

811 S Business Highway 13 Ste a
Lexington, MO 64067-1572

Mailing address

819 S Business Highway 13
Lexington, MO 64067-1515
Phone (660) 259-2440

Other practice location 1

206 N Bismark St Ste A
Concordia, MO 64020-8101
Phone (877) 344-3572

Other practice location 2

17611 E US Hwy 24
Ste HCC
Independence, MO 64056
Phone (877) 344-3572

Other practice location 3

718 Harvest Hills Dr
Carrollton, MO 64633-2412
Phone (877) 344-3572

Other practice location 4

324 S Hudson St
Buckner, MO 64016-8142
Phone (877) 344-3572

Other practice location 5

608 Missouri St
Waverly, MO 64096-8241
Phone (877) 344-3572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20250611002162 MO Practitioner - Dentist 0143730820 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
HCC Network Current Accepting new patients
HCC Network CurrentSince Apr 14, 2025 Accepting new patients
HCC Network CurrentSince Apr 14, 2025 Accepting new patients

Locations

718 Harvest Hills Dr
Carrollton, MO 64633

206 N Bismark St
Ste A
Concordia, MO 64020
Phone (660) 463-0234

17611 E US Highway 24
Ste Hcc
Independence, MO 64056

811 S Business Highway 13
Ste A
Lexington, MO 64067
Phone (660) 259-3823

819 S Business Highway 13
Lexington, MO 64067
Phone (660) 259-2440

825 S Business Highway 13
Lexington, MO 64067
Phone (660) 259-2240

608 Missouri St
Waverly, MO 64096
Phone (660) 493-2262

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGBBCA

Organizations & group practices 3

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": "1745280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1609663608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 S BUSINESS HIGHWAY 13",
            "city": "LEXINGTON",
            "state": "MO",
            "postal_code": "640671515",
            "telephone_number": "660-259-2440",
            "fax_number": "660-251-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 S BUSINESS HIGHWAY 13 STE A",
            "city": "LEXINGTON",
            "state": "MO",
            "postal_code": "640671572",
            "telephone_number": "660-251-6440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 N Bismark St Ste A",
            "address_purpose": "LOCATION",
            "city": "Concordia",
            "state": "MO",
            "postal_code": "640208101",
            "country_code": "US",
            "telephone_number": "877-344-3572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17611 E US Hwy 24",
            "address_2": "Ste HCC",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "64056",
            "country_code": "US",
            "telephone_number": "877-344-3572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "718 Harvest Hills Dr",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "MO",
            "postal_code": "646332412",
            "country_code": "US",
            "telephone_number": "877-344-3572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "324 S Hudson St",
            "address_purpose": "LOCATION",
            "city": "Buckner",
            "state": "MO",
            "postal_code": "640168142",
            "country_code": "US",
            "telephone_number": "877-344-3572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "608 Missouri St",
            "address_purpose": "LOCATION",
            "city": "Waverly",
            "state": "MO",
            "postal_code": "640968241",
            "country_code": "US",
            "telephone_number": "877-344-3572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLENBECK",
        "first_name": "ALLYSON",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-06-02",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2025012442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MO

Sources for this page

Verify at the official NPI Registry.