Active NPI
John R Allen, PH.D.
- Audiologist
- Andrews AFB, MD
National Provider Identifier
1922145176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 51277
- Practice address
- 1050 W Perimeter Rd
Andrews AFB, MD 20762-6601 - Phone
- (240) 857-8058
- NPI assigned
- Jan 30, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 51277 | TX | Primary |
Addresses
Primary practice location
1050 W Perimeter Rd
Andrews AFB, MD 20762-6601
Mailing address
260 Carriage LN
Huntingtown, MD 20639-9459
Phone (202) 358-4740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51277 | TX | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922145176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 CARRIAGE LN",
"city": "HUNTINGTOWN",
"state": "MD",
"postal_code": "206399459",
"telephone_number": "202-358-4740",
"fax_number": "202-358-4382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 W PERIMETER RD",
"city": "ANDREWS AFB",
"state": "MD",
"postal_code": "207626601",
"telephone_number": "240-857-8058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "JOHN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "51277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Andrews AFB, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.