Individual provider Active NPI

Christine Allen

  • Dentist
  • La Mesa, CA
National Provider Identifier
1932435955
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
59632 Issued in CA
Practice address
8530 La Mesa Blvd Ste 204
La Mesa, CA 91942
Phone
(619) 460-0700
NPI assigned
Oct 27, 2009
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 59632 CA Primary

Addresses

Primary practice location

8530 La Mesa Blvd Ste 204
La Mesa, CA 91942

Mailing address

8530 La Mesa Blvd Ste 204
La Mesa, CA 91942-0966
Phone (619) 494-2492

Other practice location 1

8530 La Mesa Blvd Ste 204
LA Mesa, CA 91942
Phone (619) 460-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Nov 8, 2015 through Nov 8, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
59632CAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Richard B. Evans, D.D.S., Inc. CurrentSince Jul 28, 2019 Accepting new patients
San Diego Dental Sleep Therapy, LLC PastSince Jul 28, 2019 Accepting new patients

Locations

8530 La Mesa Blvd
Ste 204
La Mesa, CA 91942
Phone (619) 460-0700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1932435955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8530 LA MESA BLVD STE 204",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919420966",
            "telephone_number": "619-494-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8530 LA MESA BLVD STE 204",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "91942",
            "telephone_number": "619-460-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8530 La Mesa Blvd Ste 204",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "91942",
            "country_code": "US",
            "telephone_number": "619-460-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-27",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "59632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.