Organization Active NPI

Shawn Allen DDS, PC

  • Dentist
  • Schenectady, NY
National Provider Identifier
1972975944
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
042173 Issued in NY
Legal business name
SHAWN ALLEN DDS, PC
Practice address
1402 Helderberg Ave
Schenectady, NY 12306-4606
Phone
(518) 355-3800
Fax
(518) 355-3363
NPI assigned
Oct 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Authorized official

Name
Dr. Shawn M Allen, DDSNPI 1104921865
Title
Owner
Phone
(518) 355-3800

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 042173 NY Primary

Addresses

Primary practice location

1402 Helderberg Ave
Schenectady, NY 12306-4606

Mailing address

1402 Helderberg Ave
Schenectady, NY 12306-4606
Phone (518) 355-3800

Other identifiers 1

IdentifierTypeStateIssuer
1104921865OtherNYPERSONAL NPI NUMBER

National Provider Directory

National Provider Directory

Locations

1402 Helderberg Ave
Schenectady, NY 12306
Phone (518) 355-3800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1972975944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 HELDERBERG AVE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123064606",
            "telephone_number": "518-355-3800",
            "fax_number": "518-355-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 HELDERBERG AVE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123064606",
            "telephone_number": "518-355-3800",
            "fax_number": "518-355-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN ALLEN DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-355-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "042173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI NUMBER",
            "identifier": "1104921865",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.