Staci Robinson Allen, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

057851-1 Issued in NY

Practice address

44 Dale Rd Ste 305
Avon, CT 06001-4351

Phone

(860) 674-8417

NPI assigned

Jun 26, 2012

Last updated

Apr 12, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pediatric Dental Center of Avon, LLC

  • Pediatric Dentistry
  • Avon, CT
  • NPI 1033562210
  NPD (past)

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1982968848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 DALE ROAD, SUITE 305",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060015008",
            "telephone_number": "860-674-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 DALE RD STE 305",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014351",
            "telephone_number": "860-674-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "STACI",
        "middle_name": "ROBINSON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "057851-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Elizabeth Alexe
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• All Star Therapy
• Alledran Med LLC
• Emily H Allen, LCSW
• Alliance Treatment Center
• Alliance Treatment Center
• Allstar Therapy, LLC (Apple Rehab Sport & Spa)
• Altruism Psychcare Center
• Briana Jean Anderson

• Pediatric Dentistry in Avon, CT
• Providers in Avon, CT by specialty
• Pediatric Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.