Individual provider Active NPI

Allison M Long, D.C.

  • Chiropractor
  • Webster, TX
National Provider Identifier
1134480759
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12759 Issued in TX
Practice address
14214 Highway 3 Ste a
Webster, TX 77598-1617
Phone
(832) 240-4319
Fax
(281) 754-4270
NPI assigned
May 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4072 OK
Chiropractor 111N00000X 12759 TX Primary

Addresses

Primary practice location

14214 Highway 3 Ste a
Webster, TX 77598-1617

Mailing address

PO Box 1092
Guymon, OK 73942-1092
Phone (580) 338-2464

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150427001690 TX Practitioner - Chiropractic 4486819794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aavance Chiropractic Healthcare LLCGroup PAC ID 6103148747, 2 clinicians

Practice addresses (Care Compare)

14214 Hwy 3
Suite a
Webster, TX 77598-1617
Phone (832) 240-4319

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4072OKMDPeriodontist
12759TXMDVeterinarian

Practice roles

OrganizationSpecialtyStatusNew patients
Aavance Chiropractic Healthcare LLC CurrentSince Mar 10, 2015 Accepting new patients

Locations

14214 Highway 3
Ste A
Webster, TX 77598
Phone (832) 240-4319

14210 Highway 3
Ste B
Webster, TX 77598
Phone (832) 240-4319

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1134480759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1092",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739421092",
            "telephone_number": "580-338-2464",
            "fax_number": "580-338-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14214 HIGHWAY 3 STE A",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775981617",
            "telephone_number": "832-240-4319",
            "fax_number": "281-754-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "ALLISON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4072",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.