Organization Active NPI

Allsup Chiropractic Clinic Inc.

  • Chiropractor
  • Grove, OK
National Provider Identifier
1023219946
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ALLSUP CHIROPRACTIC CLINIC INC.
Practice address
1103 E 13TH St Ste E
Grove, OK 74344-7935
Phone
(918) 787-6116
Fax
(918) 787-6996
NPI assigned
May 29, 2007
Last updated
Dec 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Dr. Paul D. Allsup, D.C.NPI 1215957196
Title
Owner
Phone
(918) 787-2112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X OK Primary

Addresses

Primary practice location

1103 E 13TH St Ste E
Grove, OK 74344-7935

Mailing address

1103 E 13TH St Ste E
Grove, OK 74344-7935
Phone (918) 787-6116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140320000846 OK Part B Supplier - Clinic/Group Practice 0941431779 Receives reassigned benefits from 2 practitioners
Practice locations: Grove, OK

National Provider Directory

National Provider Directory

Locations

309 W 3rd St
Grove, OK 74344
Phone (918) 787-6116

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1023219946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 E 13TH ST STE E",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743447935",
            "telephone_number": "918-787-6116",
            "fax_number": "918-787-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 E 13TH ST STE E",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743447935",
            "telephone_number": "918-787-6116",
            "fax_number": "918-787-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLSUP CHIROPRACTIC CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "ALLSUP",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-787-2112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.