Matthew Joseph Allen, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN18144 Issued in FL

Practice address

189 SW Captain Brown Rd
Madison, FL 32340-4351

Phone

(850) 973-6621

Fax

(850) 973-6672

NPI assigned

Oct 8, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Madison Dental Associates

  • General Practice Dentistry
  • Madison, FL
  • NPI 1437417649
  NPD (past)

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223424000000",
    "number": "1871744896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 SW CAPTAIN BROWN RD",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323404351",
            "telephone_number": "850-973-6621",
            "fax_number": "850-973-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 SW CAPTAIN BROWN RD",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323404351",
            "telephone_number": "850-973-6621",
            "fax_number": "850-973-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "MATTHEW",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adolfo C Dulay MD PA
• Jacquelyn G Akers
• Teresa Yvette Alexander
• Tina Alisa Alexander
• Lewis Bartley Alford, M.S. CCC-SLP
• Allied Therapy of Madison, LLC
• Angel-5 Services LLC
• Angels With a Divine Purpose
• Apalachee Center Inc
• Apalachee Center Inc

• All providers in Madison, FL
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.