DR. ALLEN D MCCAGHREN (NPI# 1962412619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962412619 |
| Entity Type | Individual |
| Full Name | DR. ALLEN D MCCAGHREN |
| Credential | D.M.D., M.S., P.C. |
| Practice Address |
1823 Somerville Rd Se Decatur AL 35601-5015 |
| Practice Telephone | 2563552275 |
| Practice Fax Number | 2563011240 |
| Mailing Telephone | 2563552275 |
| Mailing Fax Number | 2563011240 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
2632 | AL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009940795 | 05 | |
| AL | BCBS AL | 51518070 | 01 |
| AL | UNITED CONCORDIA | 718775 | 01 |
| AL | TAX ID | 631069848 | 01 |
| Street Address |
1823 SOMERVILLE RD SE |
| City | DECATUR |
| State | AL |
| Zip Code | 35601-5015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295745008 | Riley L Hawkins | Dentist | 1823 Somerville Rd Se, Decatur, AL 35601-5015 | 2006-08-08 |
| 1417306358 | Scott Michael Sumners | Dentist | 1823 Somerville Rd Se, Decatur, AL 35601-5015 | 2016-06-10 |
| 1740536754 | Ashley Lynn Holladay | Dentist | 1823 Somerville Rd Se, Decatur, AL 35601-5015 | 2012-07-27 |
| 1649534504 | Joshua Dwight Hood | Dentist | 1823 Somerville Rd Se, Decatur, AL 35601-5015 | 2012-06-26 |
| 1770707291 | Vicki M Mayo Persaud | Dentist | 1823 Somerville Rd Se, Decatur, AL 35601-5015 | 2007-04-13 |
| 1528282332 | Jonathan E. Pope | Dentist | 1823 Somerville Rd Se, Decatur, AL 35601-5015 | 2007-04-12 |
| 1265581268 | Hawkins Mccaghren Partnership | Dentist | 1823 Somerville Rd Se, Decatur, AL 35601-5015 | 2007-01-09 |
| 1942210661 | Antonio Gales | Dentist | 1823 Somerville Rd Se, Decatur, AL 35601-5015 | 2006-08-08 |
| 1992715791 | Samuel Gregory Hawkins | Dentist | 1823 Somerville Rd Se, Decatur, AL 35601-5015 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
| 1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
| 1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
| 1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
| 1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
| Find all providers in zip 35601 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639441876 | Walter Ray Davis Jr. | Dentist | 1270 Mcconnell Dr Ste B, Decatur, GA 30033-3507 | 2012-02-03 |
| 1639201700 | Harry Patrick Stanley | Dentist | 1304 14th Ave Se, Decatur, AL 35601-4315 | 2007-03-12 |
| 1760524086 | Ulpa Patel | Dentist | 2637 N Decatur Rd, Decatur, GA 30033-6103 | 2007-02-13 |
| 1083793533 | Joel Allen Hardin | Dentist | 2426 Danville Rd Sw, Suite Q, Decatur, AL 35603-4293 | 2006-11-03 |
| 1427011253 | Wayne R Miller | Dentist | 2855 Candler Rd, Suite 10, Decatur, GA 30034-1415 | 2006-04-11 |
| 1912549759 | James Franklin Campbell IIi | Dentist | 1815 Somerville Rd Se, Decatur, AL 35601-5015 | 2019-10-14 |
| 1952791006 | Jerger Pediatric Dentistry, PC | Dentist | 2101 N Main St, Decatur, IL 62526-4375 | 2015-01-28 |
| 1114057262 | Carolyn W Williams | Dentist | 5000 Snapfinger Woods Dr, Suite B-210, Decatur, GA 30035-4085 | 2007-03-07 |
| 1245323302 | Bret M Jerger | Dentist | 2101 N Main St, Decatur, IL 62526-4375 | 2006-10-02 |
| 1932157690 | Rebecca Lynn Barkley | Dentist | 755 Commerce Dr, Ste 712, Decatur, GA 30030 | 2006-05-05 |
| Find all providers in DECATUR | ||||
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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.