Organization Active NPI

Dr. Thomas J. Allen PC

  • Dental Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1780121798
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
9332582-9921 Issued in UT
Legal business name
DR. THOMAS J. ALLEN PC
Practice address
4020 S 700 E
Suite 4
Salt Lake City, UT 84107-2186
Phone
(801) 266-4352
NPI assigned
Jan 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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

Authorized official

Name
Dr. Thomas James Allen, DDSNPI 1447366273
Title
Ceo
Phone
(210) 602-9831

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
Dental Clinic/Center 261QD0000X 9332582-9921 UT Primary

Addresses

Primary practice location

4020 S 700 E
Suite 4
Salt Lake City, UT 84107-2186

Mailing address

PO Box 982902
Park City, UT 84098-2902

National Provider Directory

National Provider Directory
Tax ID family
Dr Thomas J Allen PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4020 S 700 E
Ste 4
Salt Lake City, UT 84107
Phone (801) 266-4352

Practitioners & affiliated clinicians

Practitioners 2

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": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1780121798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 982902",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840982902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 S 700 E",
            "address_2": "SUITE 4",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072186",
            "telephone_number": "801-266-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. THOMAS J. ALLEN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-602-9831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "UT",
            "license": "9332582-9921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.