NPIMap

Organization Active NPI

David M. Allen D.D.S. and Associates, P.C.

  • General Practice Dentistry
  • Fort Wayne, IN
National Provider Identifier
1861695538
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12008539 Issued in IN
Legal business name
DAVID M. ALLEN D.D.S. AND ASSOCIATES, P.C.
Practice address
4041 Parnell Ave
Fort Wayne, IN 46805-1413
Phone
(260) 482-8386
NPI assigned
Jun 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
David Allen
Title
President
Phone
(260) 482-8386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12008539 IN Primary

Addresses

Primary practice location

4041 Parnell Ave
Fort Wayne, IN 46805-1413

Mailing address

4041 Parnell Ave
Fort Wayne, IN 46805-1413
Phone (260) 482-8386

Other names 1

  • afdent Doing business as

National Provider Directory

National Provider Directory

Locations

4041 Parnell Ave
Fort Wayne, IN 46805
Phone (260) 297-7511

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1861695538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 PARNELL AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468051413",
            "telephone_number": "260-482-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 PARNELL AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468051413",
            "telephone_number": "260-482-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M. ALLEN D.D.S. AND ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-482-8386"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12008539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "afdent",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.