MICHAEL JAY ALLEN (NPI# 1689851636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689851636 |
| Entity Type | Individual |
| Full Name | MICHAEL JAY ALLEN |
| Credential | DDS |
| Practice Address |
1813 W Harvard Avenue Suite 240 Roseburg OR 97470 |
| Practice Telephone | 5414409175 |
| Practice Fax Number | 5416731246 |
| Mailing Telephone | 5414409175 |
| Mailing Fax Number | 5416731246 |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-01-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
D8752 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821638271 | Michael Allen | Clinic/Center | 2850 N Ridge Rd Ste 210, Ellicott City, MD 21043-3463 | 2020-01-14 |
| 1205348463 | Michael Shane Allen | Counselor | 1525 Plumas Ct Ste D, Yuba City, CA 95991-2971 | 2017-10-27 |
| 1770947889 | Michael Robert Allen | Student in an Organized Health Care Education/Training Program | 275 Brotzman Rd, Binghamton, NY 13901-5217 | 2016-04-06 |
| 1346608197 | Michael E Allen | Dentist | 1800 Fortino Blvd Unit 2, Pueblo, CO 81008-1891 | 2016-02-08 |
| 1255756177 | Michael Jeffrey Allen | Marriage & Family Therapist | 584 E Woodhaven Ln, Fresno, CA 93720-1284 | 2014-02-28 |
| 1558555961 | Michael James Allen | Dentist | 36 Bradford Street, Bristol, RI 02809 | 2007-08-29 |
| 1558587881 | Michael Edmund Allen | Radiologic Technologist | 501 5th Ave Ste 2, Huntington, WV 25701-1907 | 2007-04-17 |
| 1023169067 | Michael Thomas Allen | Dentist | 419 N Church St, Thomaston, GA 30286-3611 | 2007-01-16 |
| 1124180096 | Michael W Allen | Pharmacist | 932 N State Highway 5, Camdenton, MO 65020-2648 | 2006-12-15 |
| 1386737922 | Michael Allen | Physician Assistant | 3903 S Cobb Dr., Suite 200, Smyrna, GA 30080 | 2006-10-02 |
| Street Address |
1813 W HARVARD AVENUE SUITE 240 |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053336024 | Scott Douglas Mendelson | Psychiatry & Neurology | 1813 W Harvard Avenue, Suite 201, Roseburg, OR 97471-2754 | 2006-07-12 |
| 1578918348 | Lowell F Smith | Registered Nurse | 1813 W Harvard Avenue, Suite 201, Roseburg, OR 97471-2754 | 2016-04-29 |
| 1487910279 | Leigh Anne Bressler | Psychiatry & Neurology | 1813 W Harvard Avenue, Suite 201, Roseburg, OR 97471-2754 | 2012-04-05 |
| 1962633859 | Ricardo Zegarra-linares | Pediatrics | 1813 W Harvard Avenue, Suite 201, Roseburg, OR 97471-2754 | 2009-07-27 |
| 1528286143 | Jared E Juett | Social Worker | 1813 W Harvard Avenue, Suite 201, Roseburg, OR 97471-2754 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326547134 | Thoughtwork, LLC | Social Worker | 178 Nw Garden Valley Blvd, Roseburg, OR 97470 | 2018-02-07 |
| 1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
| 1497123335 | Brandi N Hamilton | Counselor | 215 S.e. Jackson, Roseburg, OR 97470 | 2015-09-09 |
| 1285031203 | Aric Fromdahl | Counselor | 215 Se Jackson, Roseburg, OR 97470 | 2014-11-20 |
| 1801292438 | Robin Knebel | Counselor | 215 Se Jackson St., Roseburg, OR 97470 | 2014-11-10 |
| 1700282415 | Samantha Marie Shelley | Counselor | 215 Se Jackson Street, Roseburg, OR 97470 | 2014-11-06 |
| 1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
| 1083025431 | Toni Damewood Msn Pmhnp-bc | Nurse Practitioner | 770 Se Kane Street, Roseburg, OR 97470 | 2014-05-19 |
| 1801226196 | Denise Ingeman | Registered Nurse | 1548 South East Pine Street, Roseburg, OR 97470 | 2013-11-22 |
| 1356606909 | Carla Junette Rambel | Massage Therapist | 566 S.e. Jackson, Roseburg, OR 97470 | 2012-07-10 |
| Find all providers in zip 97470 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144657594 | Harvard Endodontics, LLC | Dentist | 1813 W. Harvard Ave, Suite 240, Roseburg, OR 97471-8708 | 2013-10-01 |
| 1477725331 | Michael J Allen Dds | Dentist | 1813 W Harvard Ave, Ste #240, Roseburg, OR 97470-2752 | 2008-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760997803 | Valley Endodontics | Dentist | 2350 Nw Century Dr Ste 200, Corvallis, OR 97330-3495 | 2017-12-12 |
| 1396259040 | Scott L. Barry, Dmd, PC | Dentist | 9020 Sw Washington Square Rd Ste 570, Portland, OR 97223-4477 | 2017-11-16 |
| 1851764138 | Oregon Endodontics LLC | Dentist | 196 Catron St N, Monmouth, OR 97361-2303 | 2015-11-09 |
| 1386069151 | Tcd Endodontics | Dentist | 620 12th St. Se, Salem, OR 97301 | 2014-03-03 |
| 1114348612 | Xia LLC | Dentist | 85 Centennial Loop, Eugene, OR 97401-7907 | 2013-12-30 |
| 1568711257 | Alan Liesinger Dmd PC | Dentist | 375 Park Ave., Suite 7, Coos Bay, OR 97420-2242 | 2012-09-10 |
| 1548516958 | Ryan L Reese | Dentist | 8309 Sw Main St, Suite 100, Wilsonville, OR 97070-5550 | 2012-08-03 |
| 1609121599 | Marc A Rasmussen | Dentist | 2924 Siskiyou Blvd Ste 204, Medford, OR 97504-8197 | 2012-07-17 |
| 1770849838 | West Coast Endodontics, PC | Dentist | 9907 Se Division Street, Ste A, Portland, OR 87266 | 2012-04-03 |
| 1881915858 | Holly Hyunjung Park-nah | Dentist | 3835 Spring Blvd, Eugene, OR 97405-5806 | 2010-06-14 |
| Find all providers with the same taxonomy | ||||
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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.