Allen Dental

Primary specialty

DenturistTaxonomy code 122400000X

License

DN00000017 Issued in WA

Legal business name

ALLEN DENTAL

Practice address

6226 196TH St SW
2-B,1-B
Lynnwood, WA 98036-5959

Phone

(425) 670-8670

NPI assigned

Nov 26, 2008

Organization subpart

No

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

Authorized official

Name

Andon D. Allen, LD

Title

Owner

Phone

(425) 670-8670

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227657600000",
    "number": "1700031135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6226 196TH ST SW",
            "address_2": "2-B,1-B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365959",
            "telephone_number": "425-670-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6226 196TH ST SW",
            "address_2": "2-B,1-B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365959",
            "telephone_number": "425-670-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-26",
        "last_updated": "2008-11-26",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ANDON",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-670-8670",
        "authorized_official_credential": "LD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00003007",
            "primary": false
        },
        {
            "code": "122400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Denturist",
            "state": "WA",
            "license": "DN00000017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5038724",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5056213",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5004858",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Rae Alfonso
• Danya Alghanmi
• Dalia Ali
• All Seasons Therapy PLLC
• All Shades of Blue, PLLC
• Andon Dan Allen, LD
• Julie Kay Allen, OT
• Olivia Allen
• Savana Louise Allen
• Lauren Allison

• Denturist in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Denturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; 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.