Active NPI
Darren Scott Allsup, RDMS
- Sonography Radiologic Technologist
- Oxford, MS
National Provider Identifier
1174793202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Radiologic Technologist
- Practice address
- 146 Garden Terrace Dr
Oxford, MS 38655-9329 - Phone
- (662) 801-4062
- NPI assigned
- Mar 5, 2008
- Last updated
- Mar 5, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | CRT74089 | FL | |
| Radiologic Technologist | 247100000X | MRT2046 | MS | |
| Sonography Radiologic Technologist | 2471S1302X | NU | Primary |
Addresses
Primary practice location
146 Garden Terrace Dr
Oxford, MS 38655-9329
Mailing address
146 Garden Terrace Dr
Oxford, MS 38655-9329
Phone (662) 801-4062
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CRT74089 | FL | MD | Radiologic Technologist |
| MRT2046 | MS | MD | Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204675200000",
"number": "1174793202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 GARDEN TERRACE DR",
"city": "OXFORD",
"state": "MS",
"postal_code": "386559329",
"telephone_number": "662-801-4062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 GARDEN TERRACE DR",
"city": "OXFORD",
"state": "MS",
"postal_code": "386559329",
"telephone_number": "662-801-4062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLSUP",
"first_name": "DARREN",
"middle_name": "SCOTT",
"credential": "RDMS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-05",
"last_updated": "2008-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "FL",
"license": "CRT74089",
"primary": false
},
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "MS",
"license": "MRT2046",
"primary": false
},
{
"code": "2471S1302X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Sonography",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.