Organization Active NPI

Terrence L. Allemang, DDS Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Tipp City, OH
National Provider Identifier
1730246000
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
30016164 Issued in OH
Legal business name
TERRENCE L. ALLEMANG, DDS INC.
Practice address
1487 W Main St
Tipp City, OH 45371-2803
Phone
(937) 667-0776
Fax
(937) 667-0854
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Terrence L Allemang, DDS
Title
President
Phone
(937) 667-0776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 30016164 OH Primary

Addresses

Primary practice location

1487 W Main St
Tipp City, OH 45371-2803

Mailing address

1487 W Main St
Tipp City, OH 45371-2803
Phone (937) 667-0776

Other identifiers 2

IdentifierTypeStateIssuer
000000264404OtherOHABCBS PROVIDER #
2403296MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730246000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1487 W MAIN ST",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453712803",
            "telephone_number": "937-667-0776",
            "fax_number": "937-667-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1487 W MAIN ST",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453712803",
            "telephone_number": "937-667-0776",
            "fax_number": "937-667-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRENCE L. ALLEMANG, DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEMANG",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-667-0776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30016164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABCBS PROVIDER #",
            "identifier": "000000264404",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2403296",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tipp City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.