NPIMap

Organization Active NPI

Allen Family Dentistry, LLC

Doing business as Allen Dental Practice

  • Dentist
  • Tarpon Springs, FL
National Provider Identifier
1902056161
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5617 Issued in FL
Legal business name
ALLEN FAMILY DENTISTRY, LLC
Doing business as
Allen Dental Practice
Practice address
138 Country Club CT
Tarpon Springs, FL 34689-3704
Phone
(727) 937-5159
Fax
(727) 937-5109
NPI assigned
Sep 24, 2008
Last updated
Sep 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Dr. Hayden Park Allen, DDSNPI 1164508230
Title
LLC Manager
Phone
(727) 937-5159

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14250 FL
Dentist 122300000X 17222 FL
Dentist 122300000X 5617 FL Primary

Addresses

Primary practice location

138 Country Club CT
Tarpon Springs, FL 34689-3704

Mailing address

138 Country Club CT
Tarpon Springs, FL 34689-3704
Phone (727) 937-5159

Other names 1

  • Allen Dental Practice Doing business as

National Provider Directory

National Provider Directory

Locations

138 Country Club Ct
Tarpon Springs, FL 34689
Phone (727) 937-5159

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1902056161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 COUNTRY CLUB CT",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893704",
            "telephone_number": "727-937-5159",
            "fax_number": "727-937-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 COUNTRY CLUB CT",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893704",
            "telephone_number": "727-937-5159",
            "fax_number": "727-937-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "HAYDEN",
        "authorized_official_middle_name": "PARK",
        "authorized_official_title_or_position": "LLC MANAGER",
        "authorized_official_telephone_number": "727-937-5159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "14250",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "17222",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "5617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allen Dental Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tarpon Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.