Individual provider Active NPI

Stephen Craig Allen, D.C.

  • Chiropractor
  • Sachse, TX
National Provider Identifier
1215048814
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6833 Issued in TX
Practice address
6406 Highway 78 Ste 100
Sachse, TX 75048-3203
Phone
(214) 227-5155
Fax
(214) 227-5225
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6833 TX Primary

Addresses

Primary practice location

6406 Highway 78 Ste 100
Sachse, TX 75048-3203

Mailing address

6406 Highway 78 Ste 100
Sachse, TX 75048-3203
Phone (214) 227-5155

Other identifiers 2

IdentifierTypeStateIssuer
142491301MedicaidTX
8U1740OtherTXNPIN-B.C.B.S.

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
6833TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1215048814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6406 HIGHWAY 78 STE 100",
            "city": "SACHSE",
            "state": "TX",
            "postal_code": "750483203",
            "telephone_number": "214-227-5155",
            "fax_number": "214-227-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6406 HIGHWAY 78 STE 100",
            "city": "SACHSE",
            "state": "TX",
            "postal_code": "750483203",
            "telephone_number": "214-227-5155",
            "fax_number": "214-227-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "STEPHEN",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142491301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPIN-B.C.B.S.",
            "identifier": "8U1740",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sachse, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.