Ryan Claybourne Allen, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DE00010962 Issued in WA

Practice address

3143 E 29TH Ave
Spokane, WA 99223-4815

Phone

(509) 536-5900

Fax

(509) 534-1015

NPI assigned

Apr 19, 2007

Last updated

Oct 7, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1629295704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3143 E 29TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234815",
            "telephone_number": "509-536-5900",
            "fax_number": "509-534-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3143 E 29TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234815",
            "telephone_number": "509-536-5900",
            "fax_number": "509-534-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "RYAN",
        "middle_name": "CLAYBOURNE",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010962",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7622",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5055090",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Allen
• Patrick Rawlins Allen, LICSW-A
• Raymond Paul Allen Jr., SUDPT
• Rebekkeh Joy Allen, SUDPT
• Richard Charles Allen, CPO, LCPO
• Theresa M Allen, LMHC
• Whitney Allen, MSW
• Angeles G Aller
• Michele Aller
• Thomas James Allerding, MD

• Dentist in Spokane, WA
• Providers in Spokane, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.