Organization Active NPI

Roger W. Allen, DC, PC

  • Chiropractor
  • Ontario, OR
National Provider Identifier
1073866935
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1630 Issued in OR
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

Updated by the provider on Oct 17, 2012

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.