Individual provider Active NPI

Allen R Bolin, DC

  • Chiropractor
  • Nashville, NC
National Provider Identifier
1093918294
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3709 Issued in NC
Practice address
343 W Washington St
Nashville, NC 27856-1260
Phone
(252) 459-1110
Fax
(252) 459-6523
NPI assigned
Jun 6, 2007
Last updated
Sep 28, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3709 NC Primary

Addresses

Primary practice location

343 W Washington St
Nashville, NC 27856-1260

Mailing address

PO Box 0005
Nashville, NC 27856-1260
Phone (252) 459-1110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080304000648 NC Practitioner - Chiropractic 6204911043 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tarboro Chiropractic Inc.Group PAC ID 5092887463, 2 clinicians
Hammer Chiropractic IncGroup PAC ID 1052465556, 3 clinicians

Practice addresses (Care Compare)

1801 N Main St
Tarboro, NC 27886-2525
Phone (252) 823-5444

3123 Sunset Ave
Rocky Mount, NC 27804-3651
Phone (252) 443-7400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3709NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tarboro Chiropractic Inc. Chiropractor CurrentSince Apr 1, 2009 Accepting new patients
Hammer Chiropractic Inc Chiropractor CurrentSince Jun 1, 2014 Accepting new patients
Nashville Chiropractic, Inc Chiropractor Past Accepting new patients
Nashville Chiropractic, LLC Chiropractor Past Accepting new patients

Locations

3123 Sunset Ave
Rocky Mount, NC 27804
Phone (252) 443-7400

1801 N Main St
Tarboro, NC 27886
Phone (252) 823-5444

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190937600000",
    "number": "1093918294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 0005",
            "city": "NASHVILLE",
            "state": "NC",
            "postal_code": "278561260",
            "telephone_number": "252-459-1110",
            "fax_number": "252-459-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 W WASHINGTON ST",
            "city": "NASHVILLE",
            "state": "NC",
            "postal_code": "278561260",
            "telephone_number": "252-459-1110",
            "fax_number": "252-459-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLIN",
        "first_name": "ALLEN",
        "middle_name": "R",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.