DR. THOMAS J ALLEN (NPI# 1679567739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679567739 |
| Entity Type | Individual |
| Full Name | DR. THOMAS J ALLEN |
| Credential | D.D.S. |
| Practice Address |
1901 W Western Ave #b South Bend IN 46619-3521 |
| Mailing Address |
20821 Whispering Creek Ct South Bend IN 46614-5172 |
| Practice Telephone | 5742349033 |
| Practice Fax Number | 5742349059 |
| Mailing Telephone | 5742915373 |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 12007316A | IN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | DELTA DENTAL | 88016N | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245859982 | Thomas Allen | Psychologist | 12 Valley View Pl, Mankato, MN 56001-2500 | 2020-04-13 |
| 1497220271 | Thomas Andrew Allen | Physical Medicine & Rehabilitation | 10801 Bellehaven Blvd, Damascus, MD 20872-2201 | 2018-10-09 |
| 1255624946 | Thomas Gorman Allen | Specialist | 1155 Arden Rd, Pasadena, CA 91106-4143 | 2011-05-27 |
| 1114041027 | Thomas J Allen | Chiropractor | 444 E Penn St, Bedford, PA 15522-1435 | 2007-03-17 |
| 1649326307 | Thomas B Allen | Dentist | 2033 Center Ave, Fort Lee, NJ 07024-4707 | 2007-01-26 |
| 1154495364 | Thomas J Allen Jr. | Dentist | 1010 Main Street, Suite 6, Holden, MA 01520 | 2006-11-20 |
| 1447366273 | Thomas James Allen | Dentist | 4020 S 700 E Ste 4, Salt Lake City, UT 84107-2579 | 2006-08-22 |
| 1356350813 | Thomas Allen | Counselor | 5700 Granite Pkwy, Ste 200, Plano, TX 75024-6622 | 2006-08-05 |
| 1053380493 | Thomas J. Allen | Pediatrics | 1717 S. Orange Ave. Suite 100, Nemours Childrens Clinic Orlando, Orlando, FL 32806-2946 | 2006-03-17 |
| 1972592798 | Thomas M Allen | Psychologist | 809 Jefferson Ave, La Porte, IN 46350-3431 | 2005-10-14 |
| Street Address |
1901 W WESTERN AVE #B |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46619-3521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821082090 | Jose Dennis Lim | General Practice | 1901 W Western Ave, #b, South Bend, IN 46619-3521 | 2005-09-02 |
| 1619418332 | Susana Lagunas | Nurse Practitioner | 1901 W Western Ave, South Bend, IN 46619-3569 | 2017-03-14 |
| 1457755787 | Ekomobong E Essien | Nurse Practitioner | 1901 W Western Ave, South Bend, IN 46619-3569 | 2014-10-15 |
| 1093146631 | Gertrude Mumba-kaunda | Nurse Practitioner | 1901 W Western Ave, South Bend, IN 46619-3569 | 2013-12-09 |
| 1710208012 | Liliana Patricia Ruiz | Pediatrics | 1901 W Western Ave, South Bend, IN 46619-3569 | 2010-06-21 |
| 1538367321 | Su Choo Chang | Pediatrics | 1901 W Western Ave, South Bend, IN 46619-3569 | 2007-07-03 |
| 1528109410 | Carol Louise Sikorski | Nurse Practitioner | 1901 W Western Ave, South Bend, IN 46619-3521 | 2007-02-12 |
| 1619914140 | Yahya El-shinnawy | Pediatrics | 1901 W Western Ave, South Bend, IN 46619-3569 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578015103 | Martin's Super Markets, Inc. | Pharmacy | 525 S. Mayflower Rd, South Bend, IN 46619 | 2016-10-31 |
| 1124449053 | Sandra J Jackson | Counselor | 4218 Western Ave., South Bend, IN 46619 | 2013-12-19 |
| 1902227911 | Patricia Ann Miller | Counselor | 4218 Western Ave, South Bend, IN 46619 | 2013-12-17 |
| 1740611953 | Cynthia G. Finney | Counselor | 4218 Western Avenue, So Bend, IN 46619 | 2013-12-13 |
| 1437433406 | Angela Nicole Zolvinski | Pharmacist | 4444 W. Western Ave, South Bend, IN 46619 | 2011-10-07 |
| 1871674556 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 4600 W Washington St, South Bend, IN 46619 | 2006-10-18 |
| 1942302203 | April Holtgren | Family Medicine | 1901 #b Western Ave, South Bend, IN 46619 | 2006-09-05 |
| 1447737002 | Graciela Jimenez-martinez | Registered Nurse | 1901 #b Western Avenue, South Bend, IN 46619 | 2018-07-25 |
| 1821397878 | Wright Dream | In Home Supportive Care | 706 S Sheridan St, South Bend, IN 46619 | 2011-03-16 |
| 1740439223 | Scott J. Vanslambrouck | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46619 | 2008-09-09 |
| Find all providers in zip 46619 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615796 | Himabindu Gogeneni | Dentist | 3575 Portage Ave Ste A, South Bend, IN 46628-6092 | 2020-10-06 |
| 1699241216 | Candace Jane Rich | Dentist | 220 Dean Johnson Blvd Rm 184, South Bend, IN 46601-3415 | 2018-10-22 |
| 1811325665 | Dennis Lee Carter | Dentist | 53360 Crestview Dr, South Bend, IN 46635-1354 | 2013-10-14 |
| 1598034894 | Klopenstine Family Dentistry PC | Dentist | 52120 State Road 933, South Bend, IN 46637-3846 | 2011-12-16 |
| 1730480898 | David Allan Varner | Dentist | 1902 E Ireland Rd, South Bend, IN 46614-2863 | 2010-11-05 |
| 1225264054 | Sridhar Meda | Dentist | 1005 East Lasalle Ave, South Bend, IN 46617 | 2009-06-08 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1265693634 | Thomas Gene Magnuson | Dentist | 4550 S Ironwood Dr, South Bend, IN 46614-9595 | 2008-06-18 |
| 1427259175 | Nicole Lambert Hurcomb | Dentist | 51584 State Road 933, South Bend, IN 46637-1704 | 2007-05-30 |
| 1609092170 | Jennifer Roberts | Dentist | 1605 N Ironwood Dr, South Bend, IN 46635-1843 | 2007-04-17 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46619 |
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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.