Tom Allen, D.C.
Individual provider Active NPI Chiropractor · Lehi, UT
NPI 1043374911 · NPPES record last updated Sep 3, 2010
Key facts
- NPI
- 1043374911
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 7201080-1202 (UT)
- Practice address
- 72 W Main St
Lehi, UT 84043-2144 - Phone
- (801) 653-2900
- Fax
- (801) 653-2910
- NPI assigned
- Dec 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC28616 | CA | MD | Chiropractor |
| 7201080-1202 | UT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehi Chiropractic | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC28616 | CA | |
| Chiropractor | 111N00000X | 7201080-1202 | UT | Yes |
Addresses
Primary practice location
72 W Main St
Lehi, UT 84043-2144
Mailing address
72 W Main St
Lehi, UT 84043-2144
Phone (801) 653-2900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7201080-1202 | Other | UT | CHIROPRACTOR |
| DC28616 | Other | CA | CHIROPRACTIC LICENSE |
Other providers in Lehi, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.