Active NPI
Donald a. Allen D.D.S.
- Dentist
- Tyler, TX
National Provider Identifier
1629499710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11302
- Legal business name
- DONALD A. ALLEN D.D.S.
- Practice address
- 601 E Dodge St
Tyler, TX 75701-1812 - Phone
- (903) 595-4246
- Fax
- (903) 595-0019
- NPI assigned
- Dec 17, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cynthia B Allen
- Title
- Owner
- Phone
- (903) 595-4246
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11302 | TX | Primary |
Addresses
Primary practice location
601 E Dodge St
Tyler, TX 75701-1812
Mailing address
601 E Dodge St
Tyler, TX 75701-1812
Phone (903) 595-4246
National Provider Directory
National Provider DirectoryLocations
601 E Dodge St
Tyler, TX 75701
Phone (903) 508-5750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1387238400000",
"number": "1629499710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 E DODGE ST",
"city": "TYLER",
"state": "TX",
"postal_code": "757011812",
"telephone_number": "903-595-4246",
"fax_number": "903-595-0019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E DODGE ST",
"city": "TYLER",
"state": "TX",
"postal_code": "757011812",
"telephone_number": "903-595-4246",
"fax_number": "903-595-0019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DONALD A. ALLEN D.D.S.",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-17",
"last_updated": "2013-12-17",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "903-595-4246",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "TX",
"license": "11302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.