Individual provider Active NPI

Jason Carl Allen, D.C.

  • Chiropractor
  • College Station, TX
National Provider Identifier
1174987846
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13195 Issued in TX
Practice address
900 Harvey Rd
Ste 9B
College Station, TX 77840-3556
Phone
(979) 704-3064
NPI assigned
Apr 8, 2016
Last updated
Aug 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13195 TX Primary

Addresses

Primary practice location

900 Harvey Rd
Ste 9B
College Station, TX 77840-3556

Mailing address

900 Harvey Rd
Ste 9B
College Station, TX 77840-3556
Phone (979) 704-3064

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
13195TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Live Free Chiropractic and Rehabilitation LLC Chiropractor CurrentSince Aug 14, 2022 Accepting new patients
Poractivebtx LLC Chiropractor CurrentSince Feb 23, 2025 Accepting new patients

Locations

3351 University Dr E
#112
Bryan, TX 77802
Phone (979) 776-6808

750 William D Fitch Pkwy
Ste 240
College Station, TX 77845
Phone (979) 669-1996

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, 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": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1174987846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 HARVEY RD",
            "address_2": "STE 9B",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778403556",
            "telephone_number": "979-704-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HARVEY RD",
            "address_2": "STE 9B",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778403556",
            "telephone_number": "979-704-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JASON",
        "middle_name": "CARL",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-08",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.