DR. NATHAN ALLEN (NPI# 1063021723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063021723 |
Entity Type | Individual |
Full Name | DR. NATHAN ALLEN |
Credential | DDS |
Practice Address |
11671 Fm 2154 Rd Ste 400 College Station TX 77845-4796 |
Mailing Address |
1000 Spring Loop Apt 1308 College Station TX 77840-2186 |
Practice Telephone | 9793995101 |
Mailing Telephone | 5037050480 |
Enumeration Date | 2020-07-29 |
Last Update Date | 2020-07-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223G0001X |
Dentist Specialization: General Practice |
25046 | FL | Dental Providers |
Y | 1223G0001X |
Dentist Specialization: General Practice |
36435 | TX | Dental Providers |
Address | Telephone Number | Fax Number |
---|---|---|
910 N Earl Rudder Fwy Ste 100, Bryan, TX 778022930 | 9793076875 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366746547 | Nathan Carl Allen | Student in an Organized Health Care Education/Training Program | 15001 Via Messina Dr, Bakersfield, CA 93306-9584 | 2011-01-03 |
1598739161 | Nathan Hale Allen | Obstetrics & Gynecology | 7237 E Southgate Dr, Suite C, Sacramento, CA 95823-2637 | 2006-02-13 |
1003173360 | Nathan Ira Allen | Physical Therapist | 2635 Caldwell Blvd, Ste. B, Nampa, ID 83651-6407 | 2012-04-11 |
1861781957 | Nathan Allen | Counselor | 1827 Atlanta Ave Ste D3, Riverside, CA 92507-7418 | 2011-03-30 |
1285943167 | Nathan Bryan Allen | Pharmacist | 1775 Lakeside Dr, Bullhead City, AZ 86442-5732 | 2010-09-27 |
1881908366 | Nathan Kent Allen | Family Medicine | 2550 Addison Ave E, Suite B, Twin Falls, ID 83301-6749 | 2010-07-27 |
1629398987 | Nathan B. Allen | Family Medicine | 302 Ne 14th St, Leon, IA 50144-1206 | 2010-06-09 |
1356676878 | Nathan Allen | Emergency Medicine | 2800 10th Ave N, Billings, MT 59101-0703 | 2009-10-16 |
Street Address |
11671 FM 2154 RD STE 400 |
City | COLLEGE STATION |
State | TX |
Zip Code | 77845-4796 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225530124 | Michonne Danielle Parker | Dentist | 11671 Fm 2154 Rd Ste 400, College Station, TX 77845-4796 | 2018-03-06 |
1235741448 | Victoria Nicole Slater | Dentist | 11671 Fm 2154 Rd Ste 400, College Station, TX 77845-4796 | 2020-08-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518503101 | Aggieland Urgent Care Pllc | Clinic/Center | 13055 Fm 2154 Rd, College Station, TX 77845 | 2019-11-19 |
1770053399 | Alyssa Nicole Sanchez | Licensed Vocational Nurse | 4030 Hwy 6 S 150, College Station, TX 77845 | 2018-11-27 |
1154805778 | Medical Care Innovation, P.C. | Clinic/Center | 200 Quality Circle, College Station, TX 77845 | 2018-09-19 |
1003302530 | Kaye Lynn Tseng | Registered Nurse | 4030 Hightway 6 South, College Station, TX 77845 | 2018-07-09 |
1083117907 | College Station Dentistry and Orthodontics Pllc | Dentist | 11671 Fm 2154, Suite 400, College Station, TX 77845 | 2018-03-16 |
1912409954 | H-e-b, Lp | Clinical Medical Laboratory | 11675 Fm 2154, College Station, TX 77845 | 2018-03-06 |
1871095745 | Gregory Nicholas Perry | Physical Therapist | 4091 Sh 6 South, Suite B, College Station, TX 77845 | 2018-03-06 |
1811435639 | Michael Patke | Student in an Organized Health Care Education/Training Program | 10613 Deer Run Dr., College Station, TX 77845 | 2017-02-01 |
1558810473 | Sara Beth Williamson | Nurse Practitioner | 4401 State Hwy 6 S, College Station, TX 77845 | 2016-10-04 |
1881067379 | Kieshia Lewis | Occupational Therapy Assistant | 2700 Earl Rudder Frwy Suite 1200, College Station, TX 77845 | 2015-11-05 |
Find all providers in zip 77845 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184237760 | Joseph Ryan Dickson | Dentist | 219 Rock Prairie Rd Ste 100, College Station, TX 77845-8796 | 2020-08-25 |
1275185209 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 2305 Longmire Dr Ste 70, College Station, TX 77845-7033 | 2019-07-10 |
1154983054 | Nicholas Charles Madere | Dentist | 4400 Highway 6 S Ste 300, College Station, TX 77845-4500 | 2019-07-01 |
1386137370 | Ilka Maza | Dentist | 1530 Texas Ave S Ste 300, College Station, TX 77840-3390 | 2018-06-13 |
1083117907 | College Station Dentistry and Orthodontics Pllc | Dentist | 11671 Fm 2154, Suite 400, College Station, TX 77845 | 2018-03-16 |
1225530124 | Michonne Danielle Parker | Dentist | 11671 Fm 2154 Rd Ste 400, College Station, TX 77845-4796 | 2018-03-06 |
1336679059 | Andrew F Naeger | Dentist | 4528 Mills Park Cir, College Station, TX 77845-1100 | 2017-06-14 |
1528491081 | Haynes Dental Pllc | Dentist | 1530 Texas Ave S, 300, College Station, TX 77840-3329 | 2013-08-19 |
1730520222 | Neha Karanjkar | Dentist | 4400 State Highway 6 S, Suite # 300, College Station, TX 77845-4427 | 2013-07-11 |
1831470442 | Williams Dentistry P.a. | Dentist | 1511 Emerald Plz, College Station, TX 77845-1501 | 2011-09-09 |
Find all providers in COLLEGE STATION |
City | COLLEGE STATION |
Zip Code | 77845 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.