Individual provider Active NPI

David Judd Allen, DMD

  • General Practice Dentistry
  • Huntsville, AL
National Provider Identifier
1861586513
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5665 Issued in AL
Practice address
111 Park Place Dr Ste F
Huntsville, AL 35806-4252
Phone
(256) 489-1431
Fax
(256) 403-2496
NPI assigned
Oct 3, 2006
Last updated
Apr 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2163-85 MS
General Practice Dentistry 1223G0001X 8976 TN
General Practice Dentistry 1223G0001X 5665 AL Primary

Addresses

Primary practice location

111 Park Place Dr Ste F
Huntsville, AL 35806-4252

Mailing address

21 Chalkstone St NW
Huntsville, AL 35806
Phone (601) 594-6661

Other practice location 1

100 Providence Main St Ste C
Huntsville, AL 35806
Phone (256) 653-9830

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
5665ALMDGeneral Practice Dentistry
2163-85MSMDGeneral Practice Dentistry
8976TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Trio Dental LLC General Practice CurrentSince Jul 31, 2022 Accepting new patients
Amy D. Thompson, DMD, PC General Practice PastSince Apr 10, 2022 Accepting new patients
Singing River Dentistry East, LLC General Practice PastSince Mar 16, 2021 Accepting new patients
Midtown Dental LLC Past Accepting new patients

Locations

111 Park Place Dr
Ste F
Huntsville, AL 35806
Phone (256) 489-1431

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1861586513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CHALKSTONE ST NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35806",
            "telephone_number": "601-594-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PARK PLACE DR STE F",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358064252",
            "telephone_number": "256-489-1431",
            "fax_number": "256-403-2496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Providence Main St Ste C",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "35806",
            "country_code": "US",
            "telephone_number": "256-653-9830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "DAVID",
        "middle_name": "JUDD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "2163-85",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "8976",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.