Organization Active NPI

Allied Chiropractic LLC

  • Chiropractor
  • Fremont, OH
National Provider Identifier
1013915875
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2985 Issued in OH
Legal business name
ALLIED CHIROPRACTIC LLC
Practice address
1320 E State St
Suite 8
Fremont, OH 43420-4365
Phone
(419) 332-6840
Fax
(419) 332-6929
NPI assigned
Jul 14, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Darren Snodgross, DC
Title
Owner/President
Phone
(419) 332-6840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2985 OH Primary

Addresses

Primary practice location

1320 E State St
Suite 8
Fremont, OH 43420-4365

Mailing address

1320 E State St
Suite 8
Fremont, OH 43420-4365
Phone (419) 332-6840

Other identifiers 1

IdentifierTypeStateIssuer
2207632MedicaidOH

National Provider Directory

National Provider Directory

Locations

1320 E State St
Ste 8
Fremont, OH 43420
Phone (419) 332-6840

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013915875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 E STATE ST",
            "address_2": "SUITE 8",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434204365",
            "telephone_number": "419-332-6840",
            "fax_number": "419-332-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 E STATE ST",
            "address_2": "SUITE 8",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434204365",
            "telephone_number": "419-332-6840",
            "fax_number": "419-332-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SNODGROSS",
        "authorized_official_first_name": "DARREN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "419-332-6840",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2207632",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.