Tyler Reed Allen, D.D.S., M.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

10455 Issued in TN

Practice address

4741 N Broadway St
Suite C
Knoxville, TN 37918-1793

Phone

(865) 687-9412

NPI assigned

Mar 23, 2017

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pickering & Allen Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Knoxville, TN
  • NPI 1659996320

  Orthodontics and Dentofacial Orthopedics

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 27, 2017.

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1992236616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4741 N BROADWAY ST",
            "address_2": "SUITE C",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379181793",
            "telephone_number": "865-687-9412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4741 N BROADWAY ST",
            "address_2": "SUITE C",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379181793",
            "telephone_number": "865-687-9412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "TYLER",
        "middle_name": "REED",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "10455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Lynn Allen, PH.D.
• Sherri Allen
• Sloan Williams Allen
• Tiffaney Brooke Allen
• Todd Carl Allen, HIS
• Vickie R Allen
• Wesley Allen, LPC-MHSP
• Allergic Diseases Asthma & Immunology Clinic PC
• Allergy & Asthma Affiliates, PC
• Allergy & Asthma Affiliates, PC

• All providers in Knoxville, TN
• Orthodontics and Dentofacial Orthopedics Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.