DR. MARK DERRICK ALLEN (NPI# 1528357803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528357803 |
| Entity Type | Individual |
| Full Name | DR. MARK DERRICK ALLEN |
| Credential | DDS MS |
| Practice Address |
3232 Broadway Blvd Suite D Garland TX 75043-1586 |
| Practice Telephone | 9722781328 |
| Practice Fax Number | 9722781320 |
| Mailing Telephone | 9722781328 |
| Mailing Fax Number | 9722781320 |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2011-04-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
16321 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720539406 | Mark Allen | Nursing Facility/Intermediate Care Facility | 219 Deerfoot Trl, Kalispell, MT 59901-8725 | 2016-10-18 |
| 1942509559 | Mark Allen | Counselor | 1384 W Ellery Way, Fresno, CA 93711-2014 | 2011-03-22 |
| 1124339676 | Mark Allen | Orthopaedic Surgery | 1505 Wigwam Pkwy Ste 330, Henderson, NV 89074 | 2010-06-30 |
| 1134283765 | Mark S Allen | Dentist | 1716 Ashley Cir, Bowling Green, KY 42104-3366 | 2006-12-20 |
| 1952471617 | Mark Allen | Chiropractor | 434 S Green St, Henderson, KY 42420-3517 | 2006-11-09 |
| 1306934708 | Mark A. Allen | Chiropractor | 2525 California St, Suite A&b, Columbus, IN 47201-3678 | 2006-10-11 |
| 1467551549 | Mark H Allen | Optometrist | 4810 Lakeland Dr, Flowood, MS 39232-8694 | 2006-09-22 |
| 1295742013 | Mark Jay Allen | Dentist | 519 S Santa Fe Ave, Edmond, OK 73003-6281 | 2006-08-02 |
| 1700842549 | Mark Allen | Dentist | 151 North Main St, Hardwick, VT 05843 | 2006-04-21 |
| 1932187507 | Mark Daniel Allen | Nurse Practitioner | 1400 Willow Lane, Manchester, TN 37355 | 2006-01-04 |
| Street Address |
3232 BROADWAY BLVD SUITE D |
| City | GARLAND |
| State | TX |
| Zip Code | 75043-1586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316044092 | James Louis Grigsby Jr. | Dentist | 3232 Broadway Blvd, Suite G, Garland, TX 75043-1563 | 2006-09-17 |
| 1043448228 | Ben H Giang | Dentist | 3232 Broadway Blvd, Ste G, Garland, TX 75043-1586 | 2009-06-26 |
| 1700090321 | Mike Dee Allen | Dentist | 3232 Broadway Blvd, Suite D, Garland, TX 75043 | 2007-05-10 |
| 1205915683 | Bart Alan Deering | Dentist | 3232 Broadway Blvd, Suite H, Garland, TX 75043-1586 | 2006-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811509672 | Hospice Angels, LLC. | Hospice Care, Community Based | 350 Oaks Trail, Suite # 201, Garland, TX 75043 | 2020-08-21 |
| 1639683212 | H&p Diagnostic Services LLC | Specialist/Technologist, Other | 310 E Interstate 30 Ste M105, Garland, TX 75043 | 2017-11-19 |
| 1013439934 | Shereen Raju Varughese | Nurse Practitioner | 2605 Claymore Avenue, Garland, TX 75043 | 2017-07-12 |
| 1558891176 | Eluzay LLC | Technician | 2302 Guthrie Road, Suite 140, Garland, TX 75043 | 2017-06-15 |
| 1841740065 | Francesca Crye Anokwute | Nurse Practitioner | 4514 Grantham Drive, Garland, TX 75043 | 2016-10-12 |
| 1013394329 | Amber M Murphy | Dietitian, Registered | 2435 N. Central Expwy, 12th Floor, Richardson, TX 75043 | 2015-05-06 |
| 1811303266 | Saint Jude Hospice and Palliative Care LLC | Hospice Care, Community Based | 346 Oaks Trail #225, Garland, TX 75043 | 2014-07-07 |
| 1992149306 | Richard Shad Hattaway | Dentist | 6452 Broadway Boulevard, Garland, TX 75043 | 2013-04-29 |
| 1407106370 | Jennifer Frances Burtt | Physician Assistant | 545 Interstate 30 Frontage Rd, Mesquite, TX 75043 | 2012-09-18 |
| 1083991319 | Vidya Suri Dds Pa | Dentist | 6521 Duck Creek Dr, Garland, TX 75043 | 2011-11-15 |
| Find all providers in zip 75043 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265997555 | Champion Orthodontics, Pllc | Dentist | 7030 N Shiloh Rd Unit 180, Garland, TX 75044-2913 | 2019-01-31 |
| 1336611003 | Ehab Abdelbar | Dentist | 3050 S 1st St Ste 233, Garland, TX 75041-3451 | 2018-12-19 |
| 1508312208 | Yasir M Kachroo | Dentist | 1605 N Garland Ave Ste C, Garland, TX 75040-9418 | 2016-09-01 |
| 1578976007 | Paul Hyun | Dentist | 3121 N George Bush Fwy Ste 113, Garland, TX 75040-2753 | 2014-06-02 |
| 1801175302 | Patricia Park Fleming | Dentist | 1309 Belt Line Road #b, Garland, TX 75669 | 2011-08-15 |
| 1659568384 | Murray Randolph Ray | Dentist | 1530 Forest Lane South, Garland, TX 75042 | 2007-09-26 |
| 1720203524 | Align Orthodontics | Dentist | 5129 N Garland Ave, Suite # 275, Garland, TX 75040-2725 | 2007-04-16 |
| 1730201344 | Murray R Ray Dds Inc | Dentist | 1530 Forest Ln South, Garland, TX 75042 | 2007-04-04 |
| 1598812489 | Matthew David Hill | Dentist | 2910 Broadway Blvd Ste 101, Garland, TX 75041-3797 | 2007-01-04 |
| 1396758892 | Ronald R Yen Dds Inc | Dentist | 1301 Northwest Hwy, #201, Garland, TX 75041-5896 | 2006-08-14 |
| Find all providers in GARLAND | ||||
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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.