NPIMap

Individual provider Active NPI

Gilbert P Allen Jr., D.C.

  • Chiropractor
  • Grand Blanc, MI
National Provider Identifier
1174745178
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301003028 Issued in MI
Practice address
7388 Fenton Rd
Grand Blanc, MI 48439-8963
Phone
(810) 730-5546
Fax
(810) 258-2159
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556798 VA
Chiropractor 111N00000X DC010226 PA
Chiropractor 111N00000X 2301003028 MI Primary

Addresses

Primary practice location

7388 Fenton Rd
Grand Blanc, MI 48439-8963

Mailing address

7388 Fenton Rd
Grand Blanc, MI 48439-8963
Phone (810) 730-5546

Other identifiers 2

IdentifierTypeStateIssuer
4532627MedicaidMI
950F315620OtherMIBLUE CROSS BLUE SHIELD

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC010226PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Devary Chiropractic Wellness Center Chiropractor PastSince Oct 1, 2006 Accepting new patients
Dobson Chiropractic Center PLLC Chiropractor Past Accepting new patients
William Boggs P.C. Chiropractor Past Accepting new patients

Organizations & group practices 3

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397692800000",
    "number": "1174745178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7388 FENTON RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398963",
            "telephone_number": "810-730-5546",
            "fax_number": "810-258-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7388 FENTON RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398963",
            "telephone_number": "810-730-5546",
            "fax_number": "810-258-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "GILBERT",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2014-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556798",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010226",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301003028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4532627",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "950F315620",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.