Organization Active NPI

James C Allen DC LTD

  • Chiropractor
  • Decatur, IL
National Provider Identifier
1295868800
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIROPRACTOR Issued in IL
Legal business name
JAMES C ALLEN DC LTD
Practice address
1533 N Water St
Decatur, IL 62526-4441
Phone
(217) 428-7761
Fax
(217) 428-7763
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James C Allen, DC
Title
Corporation President
Phone
(217) 428-7761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIROPRACTOR IL Primary

Addresses

Primary practice location

1533 N Water St
Decatur, IL 62526-4441

Mailing address

1533 N Water St
Decatur, IL 62526-4441
Phone (217) 428-7761

Other identifiers 1

IdentifierTypeStateIssuer
5882001OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1533 N Water St
Decatur, IL 62526
Phone (217) 428-7761

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295868800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 N WATER ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264441",
            "telephone_number": "217-428-7761",
            "fax_number": "217-428-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 N WATER ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264441",
            "telephone_number": "217-428-7761",
            "fax_number": "217-428-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES C ALLEN DC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CORPORATION PRESIDENT",
        "authorized_official_telephone_number": "217-428-7761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "CHIROPRACTOR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5882001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.