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MR. NICHOLAS D ALLAN D.M.D
NPI 1609166644
Dentist - Periodontics in Mesa, AZ

Active since April 11, 2011PECOS Enrolled
2831 E SOUTHERN AVE, #215, MESA, AZ 85204(618) 972-8464 Get Directions Write a Review

NPPES record last updated: May 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Nicholas D Allan D.m.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. NICHOLAS D ALLAN D.M.D (NPI 1609166644) is an individual periodontics provider in Mesa, Arizona, licensed in Texas (30349) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609166644
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameMR. NICHOLAS D ALLANCredential: D.M.D
Location Address2831 E SOUTHERN AVE, #215Mesa, AZ 85204-5500
Mailing Address3508 Far West Blvd, 330Austin, TX 78731-3080 · (512) 343-9488
Phone(618) 972-8464
Sole ProprietorNo
Enumeration DateApril 11, 2011
Last NPPES UpdateMay 20, 2015
✔ NPI 1609166644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in TX · 30349
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
2831 E SOUTHERN AVE, Mesa, AZ 85204
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Nicholas D Allan D.m.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Allan's NPI number?

The NPI number for Nicholas Allan is 1609166644. It was assigned to this individual provider in the NPPES registry on April 11, 2011.

Where is Nicholas Allan located?

Nicholas Allan practices at 2831 E Southern Ave #215, Mesa, AZ 85204. The listed phone number is (618) 972-8464.

What is Nicholas Allan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Nicholas Allan enrolled in Medicare?

Yes. Nicholas Allan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Allan was last updated on May 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.