Individual provider Active NPI

Allen G Michels, DDS

  • General Practice Dentistry
  • Ventura, CA
National Provider Identifier
1689739302
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19777 Issued in CA
Practice address
10883 Telegraph Rd
Ventura, CA 93004-1272
Phone
(805) 647-1322
Fax
(805) 647-3116
NPI assigned
Dec 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19777 CA Primary

Addresses

Primary practice location

10883 Telegraph Rd
Ventura, CA 93004-1272

Mailing address

5250 Louise Ave
Encino, CA 91316-2535
Phone (818) 203-3545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19777CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michels Professional Dental Corp CurrentSince Jul 28, 2025 Accepting new patients
Hillside Family Dental Center Current Accepting new patients
Gallo Michels Professional Dental Corp General Practice PastSince Sep 27, 2015 Accepting new patients

Locations

10883 Telegraph Rd
Ventura, CA 93004
Phone (805) 647-1322

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689739302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 LOUISE AVE",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162535",
            "telephone_number": "818-203-3545",
            "fax_number": "818-990-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10883 TELEGRAPH RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930041272",
            "telephone_number": "805-647-1322",
            "fax_number": "805-647-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELS",
        "first_name": "ALLEN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "19777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.