Individual provider Active NPI

Doris J Allen, DDS MPH

  • Dentist
  • Ann Arbor, MI
National Provider Identifier
1811021603
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901015212 Issued in MI
Practice address
406 N Ashley St
Ann Arbor, MI 48103-3308
Phone
(734) 998-9640
Fax
(734) 998-9647
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901015212 MI Primary
General Practice Dentistry 1223G0001X 2901015212 MI

Addresses

Primary practice location

406 N Ashley St
Ann Arbor, MI 48103-3308

Mailing address

406 N Ashley St
Ann Arbor, MI 48103-3308
Phone (734) 998-9640

Other identifiers 2

IdentifierTypeStateIssuer
4124033MedicaidMI
D152120OtherMIBCBS OF MI DENTAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901015212MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Mi Community Dental Center Dentist Past Accepting new patients
Regents of the University of Michigan Dental Faculty Associates Dentist PastSince Jul 1, 2017 Accepting new patients

Organizations & group practices 2

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1811021603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 N ASHLEY ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033308",
            "telephone_number": "734-998-9640",
            "fax_number": "734-998-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 N ASHLEY ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033308",
            "telephone_number": "734-998-9640",
            "fax_number": "734-998-9647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "DORIS",
        "middle_name": "J",
        "credential": "DDS MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901015212",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901015212",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4124033",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI DENTAL",
            "identifier": "D152120",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.