Active NPI
Roger W. Allen, DC, PC
- Chiropractor
- Ontario, OR
National Provider Identifier
1073866935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1630
- Legal business name
- ROGER W. ALLEN, DC, PC
- Practice address
- 1193 SW 4TH Ave
Ontario, OR 97914 - Phone
- (541) 889-8461
- Fax
- (541) 889-4588
- NPI assigned
- Oct 17, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roger W. Allen, DC, PC
- Title
- Owner
- Phone
- (541) 889-8461
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1630 | OR | Primary |
Addresses
Primary practice location
1193 SW 4TH Ave
Ontario, OR 97914
Mailing address
1193 SW 4TH Ave
Ontario, OR 97914
Phone (541) 889-8461
National Provider Directory
National Provider DirectoryLocations
1193 SW 4th Ave
Ontario, OR 97914
Phone (541) 889-6541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350432000000",
"number": "1073866935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1193 SW 4TH AVE",
"city": "ONTARIO",
"state": "OR",
"postal_code": "97914",
"telephone_number": "541-889-8461",
"fax_number": "541-889-4588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1193 SW 4TH AVE",
"city": "ONTARIO",
"state": "OR",
"postal_code": "97914",
"telephone_number": "541-889-8461",
"fax_number": "541-889-4588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROGER W. ALLEN, DC, PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-17",
"last_updated": "2012-10-17",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "ROGER",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "541-889-8461",
"authorized_official_credential": "DC, PC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "OR",
"license": "1630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ontario, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.