NPIMap

Organization Active NPI

J Michael Allen DDS PC

Doing business as Aurora Dental Clinic

  • Dental Assistant
  • Aurora, NE
National Provider Identifier
1992753933
Registry record updated Aug 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AssistantTaxonomy code 126800000X
License
4441 Issued in NE
Legal business name
J MICHAEL ALLEN DDS PC
Doing business as
Aurora Dental Clinic
Practice address
1219 N St
Aurora, NE 68818-0289
Phone
(402) 694-2044
Fax
(402) 694-6244
NPI assigned
May 4, 2006
Last updated
Aug 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2012

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

Authorized official

Name
J Michael Allen, DDS
Title
Pres
Phone
(402) 684-2044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Assistant 126800000X 4441 NE Primary

Addresses

Primary practice location

1219 N St
Aurora, NE 68818-0289

Mailing address

PO Box 289
Aurora, NE 68818-0289
Phone (402) 694-2044

Other identifiers 1

IdentifierTypeStateIssuer
10025101900MedicaidNE

Other names 1

  • Aurora Dental Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1992753933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 289",
            "city": "AURORA",
            "state": "NE",
            "postal_code": "688180289",
            "telephone_number": "402-694-2044",
            "fax_number": "402-694-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 N ST",
            "city": "AURORA",
            "state": "NE",
            "postal_code": "688180289",
            "telephone_number": "402-694-2044",
            "fax_number": "402-694-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J MICHAEL ALLEN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "402-684-2044",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "NE",
            "license": "4441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025101900",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aurora Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; 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.