Allen B Tan, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS043565 Issued in PA

Practice address

6595C Roosevelt Blvd
Philadelphia, PA 19149-2918

Phone

(215) 743-3700

NPI assigned

May 20, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Braces World LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Freeport, NY
  • NPI 1386195600

  Pediatric Dentistry

  NPD (past)

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1962069484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 CHESTNUT ST UNIT 2811",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191034564",
            "telephone_number": "516-508-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6595C ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191492918",
            "telephone_number": "215-743-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "56 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "NY",
            "postal_code": "115205038",
            "country_code": "US",
            "telephone_number": "516-600-9145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 E 24th St Apt 3F",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100103824",
            "country_code": "US",
            "telephone_number": "516-508-8116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8330 Vietor Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113733284",
            "country_code": "US",
            "telephone_number": "646-934-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAN",
        "first_name": "ALLEN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-20",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS043565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madhura Tamhankar, MD
• Tamika S Angels Learning Home LLC
• Mila Tamminga, MD
• Spandana Tammiraju, MBBS
• Victoria Yuka Chang Tamura, DMD
• Allison Leigh Tan, M.D.
• Anderson Kirk Nigel Go Tan, MD
• Cathy Tan
• Erik X. Tan, MD
• Imelda Castillo Tan, O.D.

• Pediatric Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.