Individual provider Active NPI

Allen McCaslin Hutcheson, D.C., L.M.T

  • Chiropractor
  • Medford, OR
National Provider Identifier
1205833969
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3516 Issued in OR
Practice address
977 Royal Ave
Medford, OR 97504-6140
Phone
(541) 245-4444
Fax
(541) 245-4443
NPI assigned
Jul 7, 2005
Last updated
Jul 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3516 OR Primary
Massage Therapist 225700000X 5644 OR

Addresses

Primary practice location

977 Royal Ave
Medford, OR 97504-6140

Mailing address

977 Royal Ave
Medford, OR 97504-6140
Phone (541) 245-4444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090428000380 OR Practitioner - Chiropractic 3375691512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Oregon Chiropractic LLCGroup PAC ID 0345281671, 7 clinicians

Practice addresses (Care Compare)

977 Royal Ave
Medford, OR 97504-6140
Phone (541) 414-0362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3516ORMDChiropractor
5644ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Oregon Chiropractic, LLC Chiropractor CurrentSince Feb 26, 2017 Accepting new patients
Towne Chiropractic Clinic P.C. Chiropractor PastSince Feb 26, 2017 Accepting new patients

Locations

1744 E McAndrews Rd
Ste D
Medford, OR 97504

2931 Doctors Park Dr
Medford, OR 97504
Phone (541) 245-4444

977 Royal Ave
Medford, OR 97504
Phone (541) 245-4444

Organizations & group practices 2

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1205833969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "977 ROYAL AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046140",
            "telephone_number": "541-245-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977 ROYAL AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046140",
            "telephone_number": "541-245-4444",
            "fax_number": "541-245-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHESON",
        "first_name": "ALLEN",
        "middle_name": "MCCASLIN",
        "name_prefix": "Dr.",
        "credential": "D.C., L.M.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3516",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "5644",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.