Active NPI
Colleen Nicole Stutesman Allen, DDS
- General Practice Dentistry
- Hendersonville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10072
- 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, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10072 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K. Jasinski, D.M.D., P.C. | General Practice | Current | Accepting new patients |
| Colleen S. Allen, D.D.S., PLLC | Past | 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.
-
dba Autumn Dental
- Dental Clinic/Center
- Hendersonville, NC
- NPI 1376038604
-
dba Autumn Dental
- General Practice Dentistry
- Hendersonville, NC
- NPI 1851097968
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.