Active NPI
Michael L Allen, DC, CNIM
- Electroneurodiagnostic Specialist/Technologist
- Brentwood, TN
National Provider Identifier
1104178102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Practice address
- 100 Winners Cir N
Suite 200
Brentwood, TN 37027-5012 - Phone
- (877) 977-4630
- Fax
- (888) 242-7469
- NPI assigned
- Oct 15, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Primary |
Addresses
Primary practice location
100 Winners Cir N
Suite 200
Brentwood, TN 37027-5012
Mailing address
100 Winners Cir N
Suite 200
Brentwood, TN 37027-5012
Phone (877) 977-4630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2594 | Other | AMERICAN BOARD OF REGISTRATION OF ELECTROENCEPHALOGRAPHIC AND EVOKED POTENTIAL T |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363737600000",
"number": "1104178102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WINNERS CIR N",
"address_2": "SUITE 200",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275012",
"telephone_number": "877-977-4630",
"fax_number": "888-242-7469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WINNERS CIR N",
"address_2": "SUITE 200",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275012",
"telephone_number": "877-977-4630",
"fax_number": "888-242-7469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "MICHAEL",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DC, CNIM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-15",
"last_updated": "2013-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN BOARD OF REGISTRATION OF ELECTROENCEPHALOGRAPHIC AND EVOKED POTENTIAL T",
"identifier": "2594",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.