NPIMap

Organization Active NPI

Allen & Tatem, DDS, PC

  • Dentist
  • Fredericksburg, VA
National Provider Identifier
1871908517
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401410327 Issued in VA
Legal business name
ALLEN & TATEM, DDS, PC
Practice address
10705 Spotsylvania Ave
Ste. 102
Fredericksburg, VA 22408-2675
Phone
(540) 891-5521
NPI assigned
Jun 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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

Authorized official

Name
Dr. Taurus Kelley Tatem, DDSNPI 1518133636
Title
President/Partner
Phone
(540) 891-5521

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0401410327 VA Primary

Addresses

Primary practice location

10705 Spotsylvania Ave
Ste. 102
Fredericksburg, VA 22408-2675

Mailing address

10705 Spotsylvania Ave
Ste. 102
Fredericksburg, VA 22408-2675
Phone (540) 891-5521

National Provider Directory

National Provider Directory

Locations

10705 Spotsylvania Ave
Ste 102
Fredericksburg, VA 22408
Phone (540) 891-5521

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403222400000",
    "number": "1871908517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10705 SPOTSYLVANIA AVE",
            "address_2": "STE. 102",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224082675",
            "telephone_number": "540-891-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10705 SPOTSYLVANIA AVE",
            "address_2": "STE. 102",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224082675",
            "telephone_number": "540-891-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN & TATEM, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A",
        "authorized_official_last_name": "TATEM",
        "authorized_official_first_name": "TAURUS",
        "authorized_official_middle_name": "KELLEY",
        "authorized_official_title_or_position": "PRESIDENT/PARTNER",
        "authorized_official_telephone_number": "540-891-5521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401410327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.