Active NPI
Joseph Allred, DDS
- General Practice Dentistry
- Cavalier, ND
National Provider Identifier
1992018048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2299
- Practice address
- 202 E 3Rd Ave S
Cavalier, ND 58220-4023 - Phone
- (701) 265-8777
- NPI assigned
- Jul 19, 2010
- Last updated
- Aug 12, 2021
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DD3350 | NM | |
| Dentist | 122300000X | 27291 | TX | |
| Dentist | 122300000X | D008871 | AZ | |
| General Practice Dentistry | 1223G0001X | 2299 | ND | Primary |
Addresses
Primary practice location
202 E 3Rd Ave S
Cavalier, ND 58220-4023
Mailing address
PO Box 635
Cavalier, ND 58220-0635
Phone (701) 265-8777
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DD3350 | NM | MD | Dentist |
| 27291 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allred Dental PC | Current | Accepting new patients | |
| Stevens Dental Group | General Practice | Past | Accepting new patients |
| Crossroads Dental Group, LLP | General Practice | Past | Accepting new patients |
Organizations & group practices 3
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 Cavalier Dental Clinic
- General Practice Dentistry
- Cavalier, ND
- NPI 1447536578
-
dba Crossroads Dental Group
- General Practice Dentistry
- Chandler, AZ
- NPI 1609961309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1992018048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 635",
"city": "CAVALIER",
"state": "ND",
"postal_code": "582200635",
"telephone_number": "701-265-8777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 E 3RD AVE S",
"city": "CAVALIER",
"state": "ND",
"postal_code": "582204023",
"telephone_number": "701-265-8777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLRED",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-19",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NM",
"license": "DD3350",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "27291",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D008871",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ND",
"license": "2299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cavalier, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.