Individual provider Active NPI

Dyron Allen

  • Student in an Organized Health Care Education/Training Program
  • Houston, TX
National Provider Identifier
1770046468
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
6550 Fannin St Ste Sm383
Houston, TX 77030-2717
Phone
(713) 441-3490
NPI assigned
Apr 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 111322 GA
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

6550 Fannin St Ste Sm383
Houston, TX 77030-2717

Mailing address

6550 Fannin St Ste Sm383
Houston, TX 77030-2717
Phone (713) 441-3490

Other practice location 1

6550 Fannin St Ste Sm383
Houston, TX 77030-2717
Phone (713) 441-3490

Other practice location 2

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (678) 951-3395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260311003102 GA Practitioner - Pathology 6608359260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Texas Medical Branch at Galveston, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1500 Duarte Rd
Duarte, CA 91010-3012

5700 Southwyck Blvd
Toledo, OH 43614-1509

PO Box
Suite 942388
Atlanta, GA 31141

PO Box
Suite 942388
Atlanta, GA 31141-2388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111322GAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Suburban Pathologists PC Anatomic Pathology & Clinical Pathology CurrentSince Mar 1, 2026 Accepting new patients

Locations

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

Interoperability endpoints

  • Direct secure messaging: dallen232549@directhoustonmethodist.org

Organizations & group practices 1

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": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1770046468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST STE SM383",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302717",
            "telephone_number": "713-441-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST STE SM383",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302717",
            "telephone_number": "713-441-3490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6550 Fannin St Ste Sm383",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302717",
            "country_code": "US",
            "telephone_number": "713-441-3490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1412 Milstead Ave NE",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300123877",
            "country_code": "US",
            "telephone_number": "678-951-3395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "DYRON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-09",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "111322",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.