Allen Stuckey Porter, DMD,MS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

03940 Issued in SC

Practice address

2824 Rogers Rd
Suite 201
Wake Forest, NC 27587-3895

Phone

(919) 435-7660

Fax

(919) 453-6370

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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.

• Dr. Cameron & Associates of Wake Forest I, PLLC

  • Pediatric Dentistry
  • Wake Forest, NC
  • NPI 1124895354
  NPD (past)
• Robert L. Hollowell III DDS MSD PLLC

  • Pediatric Dentistry
  • Wake Forest, NC
  • NPI 1346425691
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1891848610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 ROGERS RD",
            "address_2": "SUITE 201",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873895",
            "telephone_number": "919-435-7660",
            "fax_number": "919-453-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2824 ROGERS RD",
            "address_2": "SUITE 201",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873895",
            "telephone_number": "919-435-7660",
            "fax_number": "919-453-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "ALLEN",
        "middle_name": "STUCKEY",
        "name_prefix": "Dr.",
        "credential": "DMD,MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "03940",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "0647",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX3940",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cher-Gabrielle Lamora Pomar, LCMHC, LCAS, NCC
• James M Poole, M.D.
• Jenna Poorman, DPT
• Kylie Poppell, PA-C
• Porter & Rabinowitz Chiropractic, PLLC
• Kelly E. Porter, D.C.
• Ansley Roach Powell, PTA
• Brennon Powers
• Hazel Alice E Pracht, PT
• Tiffany Preciado, LPCA

• Pediatric Dentistry in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.