Individual provider Active NPI

Brandon Allen, DC

  • Chiropractor
  • Ramsey, MN
National Provider Identifier
1265020390
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6778 Issued in MN
Practice address
15030 Zeolite St NW
Ramsey, MN 55303-4301
Phone
(763) 308-5061
NPI assigned
Jan 5, 2021
Last updated
Jan 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6778 MN Primary

Addresses

Primary practice location

15030 Zeolite St NW
Ramsey, MN 55303-4301

Mailing address

15030 Zeolite St NW
Ramsey, MN 55303-4301
Phone (763) 308-5061

Other practice location 1

4118 Jordan Ave N
New Hope, MN 55427-1052
Phone (320) 510-0242

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
6778MNMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1265020390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15030 ZEOLITE ST NW",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553034301",
            "telephone_number": "763-308-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15030 ZEOLITE ST NW",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553034301",
            "telephone_number": "763-308-5061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4118 Jordan Ave N",
            "address_purpose": "LOCATION",
            "city": "New Hope",
            "state": "MN",
            "postal_code": "554271052",
            "country_code": "US",
            "telephone_number": "320-510-0242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "BRANDON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-05",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ramsey, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.