Individual provider Active NPI

Colleen Nicole Stutesman Allen, DDS

  • General Practice Dentistry
  • Hendersonville, NC
National Provider Identifier
1972986347
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10072 Issued in NC
Practice address
685 Blythe Street CT Ste a
Hendersonville, NC 28739-4167
Phone
(828) 697-6000
Fax
(828) 697-6003
NPI assigned
Jul 3, 2015
Last updated
Jun 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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 10072 NC Primary

Addresses

Primary practice location

685 Blythe Street CT Ste a
Hendersonville, NC 28739-4167

Mailing address

685 Blythe Street CT Ste a
Hendersonville, NC 28739-4167
Phone (828) 697-6000

Other practice location 1

1851 MacGregor Downs Rd
Mail stop 701 ECU
Greenville, NC 27834-5925
Phone (252) 737-7834

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
10072NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
K. Jasinski, D.M.D., P.C. General Practice CurrentSince Feb 8, 2023 Accepting new patients
Colleen S. Allen, D.D.S., PLLC PastSince Dec 15, 2019 Accepting new patients

Locations

685 Blythe Street Ct
Ste A
Hendersonville, NC 28739
Phone (828) 697-6000

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": "1435881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1972986347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 BLYTHE STREET CT STE A",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287394167",
            "telephone_number": "828-697-6000",
            "fax_number": "828-697-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 BLYTHE STREET CT STE A",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287394167",
            "telephone_number": "828-697-6000",
            "fax_number": "828-697-6003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1851 MacGregor Downs Rd",
            "address_2": "Mail stop 701 ECU",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278345925",
            "country_code": "US",
            "telephone_number": "252-737-7834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "COLLEEN",
        "middle_name": "NICOLE STUTESMAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-03",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.