Organization Active NPI

Brian McAllister, DDS, PA

  • General Practice Dentistry
  • Middletown, DE
National Provider Identifier
1952432486
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
G10001043 Issued in DE
Legal business name
BRIAN MCALLISTER, DDS, PA
Practice address
200 Cleaver Farm Rd
Suite 101
Middletown, DE 19709-1630
Phone
(302) 376-0617
Fax
(302) 376-0413
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brian Scott McAllisterNPI 1609897016
Title
Owner
Phone
(302) 376-0617

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X G10001043 DE Primary

Addresses

Primary practice location

200 Cleaver Farm Rd
Suite 101
Middletown, DE 19709-1630

Mailing address

200 Cleaver Farm Rd.
Suite 101
Middletown, DE 19709
Phone (302) 376-0617

Other identifiers 1

IdentifierTypeStateIssuer
0000904008MedicaidDE

National Provider Directory

National Provider Directory

Locations

200 Cleaver Farms Rd
Ste 101
Middletown, DE 19709
Phone (302) 376-0617

Practitioners & affiliated clinicians

Practitioners 3

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952432486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CLEAVER FARM RD.",
            "address_2": "SUITE 101",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "19709",
            "telephone_number": "302-376-0617",
            "fax_number": "302-376-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CLEAVER FARM RD",
            "address_2": "SUITE 101",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091630",
            "telephone_number": "302-376-0617",
            "fax_number": "302-376-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN MCALLISTER, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCALLISTER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-376-0617",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G10001043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000904008",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.