Organization Active NPI

Donald a. Allen D.D.S.

  • Dentist
  • Tyler, TX
National Provider Identifier
1629499710
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11302 Issued in TX
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

Updated by the provider on Dec 17, 2013

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.