Active NPI
Thomas John Allen, DMD
- Dentist
- Tuba City, AZ
National Provider Identifier
1992012132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D9496
- Practice address
- 167 North Main Street
Tuba City, AZ 86045-0600 - Phone
- (928) 283-2501
- NPI assigned
- Sep 9, 2010
- Last updated
- Jun 6, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D9496 | OR | Primary |
Addresses
Primary practice location
167 North Main Street
Tuba City, AZ 86045-0600
Mailing address
3008 E. Birch Ave
Tuba City, AZ 86045-0600
Phone (928) 283-2501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuba City Regional Health Care Corporation | Dentist | Current | Accepting new patients |
| Alaska Native Tribal Health Consortium | Current | Accepting new patients | |
| Tuba City Regional Health Care Corporation | Current | Accepting new patients | |
| Tuba City Regional Health Care Corporation | Current | Accepting new patients |
Interoperability endpoints
- tallen@direct.scf.cc
Organizations & group practices 4
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 Tuba City Indian Medical Center
- General Acute Care Hospital
- Tuba City, AZ
- NPI 1548294424
TX
-
dba Cameron Dental Clinic
- Family Medicine Physician
- Cameron, AZ
- NPI 1134382211
Dentist
-
dba Bodaway Gap Clinic
- Family Medicine Physician
- Bodaway Gap, AZ
- NPI 1710519913
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1437189339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307318400000",
"number": "1992012132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3008 E. BIRCH AVE",
"city": "TUBA CITY",
"state": "AZ",
"postal_code": "860450600",
"telephone_number": "928-283-2501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "167 NORTH MAIN STREET",
"city": "TUBA CITY",
"state": "AZ",
"postal_code": "860450600",
"telephone_number": "928-283-2501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "THOMAS",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-09",
"last_updated": "2011-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D9496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tuba City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.