NPIMap

Organization Active NPI

Allen J. Blass, D.D.S.

  • Dentist
  • Atlanta, GA
National Provider Identifier
1851500292
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
006716 Issued in GA
Legal business name
ALLEN J. BLASS, D.D.S.
Practice address
4920 Roswell Rd NE
Suite 13a
Atlanta, GA 30342-2601
Phone
(404) 236-7222
Fax
(404) 250-9143
NPI assigned
May 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mrs. Cynthia Lawless
Title
Office Manager
Phone
(404) 236-7222

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 008304 GA
Dentist 122300000X 008787 GA
Dentist 122300000X 006716 GA Primary

Addresses

Primary practice location

4920 Roswell Rd NE
Suite 13a
Atlanta, GA 30342-2601

Mailing address

4920 Roswell Rd NE
Suite 13a
Atlanta, GA 30342-2601
Phone (404) 236-7222

Other names 1

  • Allen J. Blass & Associates Other name

National Provider Directory

National Provider Directory

Locations

4920 Roswell Rd
Ste 13A
Sandy Springs, GA 30342
Phone (404) 236-7222

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851500292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 ROSWELL RD NE",
            "address_2": "SUITE 13A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422601",
            "telephone_number": "404-236-7222",
            "fax_number": "404-250-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 ROSWELL RD NE",
            "address_2": "SUITE 13A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422601",
            "telephone_number": "404-236-7222",
            "fax_number": "404-250-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN J. BLASS, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAWLESS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "404-236-7222",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "008304",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "008787",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "006716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allen J. Blass & Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

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.