KATHRYN SUMNER ALLEN, D.D.S. — NPI 1740537943 (Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) in KINGSPORT, TN)

CMS-1500 Box 24J / 33a • NPI

1740537943

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

122300000X (CMS C5)

Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)

Box 32 Service Location & ZIP+4

1599 FORT HENRY DR STE 102, KINGSPORT, TN, 37664-2535

✓ 9-Digit EDI 837 ZIP+4 (37664-2535)

Practice Phone & Referral Fax

(423) 247-8172

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1740537943 (KATHRYN SUMNER ALLEN, D.D.S.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1740537943)

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic Medication	Total Claims	Patients
Amoxicillin Amoxicillin	18	16

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1740537943` (NPI-1 Individual Practitioner)
Provider / Legal Name	KATHRYN SUMNER ALLEN, D.D.S.
Plain-English Specialty	Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) NUCC Code: `122300000X` (Dentist)
Certifying / Licensing Body	American Dental Association (ADA) / State Board of Dental Examiners
Practice Location Address	1599 FORT HENRY DR STE 102, KINGSPORT, TN, 37664-2535
Practice Telephone / Fax	Tel: (423) 247-8172
Administrative Mailing Address	1404 BELMEADE PL, KINGSPORT, TN, 37664-2032
Enumeration & Last Sync	Enumerated: 2012-08-07 \| CMS Record Updated: 2022-02-07

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1599 FORT HENRY DR STE 102, KINGSPORT, TN, 37664-2535

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Plain-English Taxonomy & CMS Crosswalk (122300000X)

What Does Taxonomy Code 122300000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 122300000X translates to:
"Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code C5 (Dentist)
Certifying / Accrediting Authority: American Dental Association (ADA) / State Board of Dental Examiners
Clinical Scope: Routine 6-month dental checkups, toothache, dental abscess, bleeding gums (periodontitis), or wisdom tooth extraction.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KATHRYN SUMNER ALLEN, D.D.S.)

Typical CPT / Diagnostic Procedures:

Comprehensive Oral Evaluation, Digital Dental Radiographs & Prophylaxis
Restorative Composite Fillings, Crowns, Endodontic Root Canal & Extractions

Common Therapeutic Classes:

Amoxicillin, Metronidazole & Clindamycin (Odontogenic Infections)
Chlorhexidine Gluconate 0.12% Oral Rinse & High-Fluoride Varnish

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`122300000X` — Dentist Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)	State: TN \| License: `DS0000009302` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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KATHRYN SUMNER ALLEN, D.D.S. (NPI #1740537943)