Individual provider Active NPI

Janice Marie Allison, DDS

  • General Practice Dentistry
  • Sumter, SC
National Provider Identifier
1962485193
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10342 Issued in MD
Practice address
411 Meadowlark Street
Shaw Air Force Base, Shaw AFB
Sumter, SC 29152-5019
Phone
(803) 895-6064
Fax
(803) 895-6539
NPI assigned
Nov 22, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10342 MD Primary

Addresses

Primary practice location

411 Meadowlark Street
Shaw Air Force Base, Shaw AFB
Sumter, SC 29152-5019

Mailing address

411 Meadowlark Street
Shaw Air Force Base, Shaw AFB
Sumter, SC 29152-5019
Phone (803) 895-6064

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

State licenses

LicenseStateTypeSpecialty
10342MDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962485193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MEADOWLARK STREET",
            "address_2": "SHAW AIR FORCE BASE, SHAW AFB",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291525019",
            "telephone_number": "803-895-6064",
            "fax_number": "803-895-6539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MEADOWLARK STREET",
            "address_2": "SHAW AIR FORCE BASE, SHAW AFB",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291525019",
            "telephone_number": "803-895-6064",
            "fax_number": "803-895-6539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLISON",
        "first_name": "JANICE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "10342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

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.

Verify at the official NPI Registry.