Individual provider Active NPI

Paul Daniel Allsup, DC

  • Chiropractor
  • Grove, OK
National Provider Identifier
1215957196
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3581 Issued in OK
Practice address
1103 E 13TH St
Suite E
Grove, OK 74344-7928
Phone
(918) 787-6116
NPI assigned
Jul 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3581 OK Primary

Addresses

Primary practice location

1103 E 13TH St
Suite E
Grove, OK 74344-7928

Mailing address

1103 E 13TH St
Suite E
Grove, OK 74344-7928
Phone (918) 787-6116

Other identifiers 3

IdentifierTypeStateIssuer
8832439001OtherOKCIGNA PROVIDER NUMBER
7674205OtherOKAETNA PROVIDER NUMBER
1959327OtherOKFIRST HEALTH PROVIDER NUM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140320001007 OK Practitioner - Chiropractic 1658502489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allsup Chiropractic Clinic IncGroup PAC ID 0941431779, 2 clinicians

Practice addresses (Care Compare)

1103 E 13TH St
Suite E
Grove, OK 74344-7935

309 W 3Rd St
Grove, OK 74344-3205
Phone (918) 787-6116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allsup Chiropractic Clinic Inc. Chiropractor CurrentSince Apr 30, 2001 Accepting new patients

Locations

1103 E 13th St
Ste E
Grove, OK 74344
Phone (918) 787-6116

309 W 3rd St
Grove, OK 74344
Phone (918) 787-6116

Organizations & group practices 1

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215957196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 E 13TH ST",
            "address_2": "SUITE E",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743447928",
            "telephone_number": "918-787-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 E 13TH ST",
            "address_2": "SUITE E",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743447928",
            "telephone_number": "918-787-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLSUP",
        "first_name": "PAUL",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "8832439001",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "7674205",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH PROVIDER NUM",
            "identifier": "1959327",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.