NPIMap

Organization Active NPI

Trevor W. Allen, DMD, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Camas, WA
National Provider Identifier
1699028290
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DE 00007676 Issued in WA
Legal business name
TREVOR W. ALLEN, DMD, PC
Practice address
736 NE 6TH Ave
Camas, WA 98607-2013
Phone
(360) 834-5171
NPI assigned
Oct 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Authorized official

Name
Dr. Trevor W. Allen, D.M.D.NPI 1023031879
Title
President
Phone
(360) 834-5171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DE 00007676 WA Primary

Addresses

Primary practice location

736 NE 6TH Ave
Camas, WA 98607-2013

Mailing address

736 NE 6TH Ave
Camas, WA 98607-2013
Phone (360) 834-5171

National Provider Directory

National Provider Directory

Locations

736 NE 6th Ave
Camas, WA 98607
Phone (360) 834-5171

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1699028290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 NE 6TH AVE",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986072013",
            "telephone_number": "360-834-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 NE 6TH AVE",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986072013",
            "telephone_number": "360-834-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREVOR W. ALLEN, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-834-5171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE 00007676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camas, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.