Individual provider Active NPI

Allison Smith Pass, D.C.

  • Chiropractor
  • Greenville, NC
National Provider Identifier
1356764179
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4354 Issued in NC
Practice address
2245 Stantonsburg Rd Ste B
Greenville, NC 27834-2868
Phone
(252) 751-3866
Fax
(252) 757-1000
NPI assigned
Jan 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4354 NC Primary

Addresses

Primary practice location

2245 Stantonsburg Rd Ste B
Greenville, NC 27834-2868

Mailing address

P.O. Box 30774
Greenville, NC 27833
Phone (910) 734-4508

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151027002098 NC Practitioner - Chiropractic 9830408160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2245 Stantonsburg Rd
Suite B
Greenville, NC 27834-2868
Phone (252) 751-3866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4354NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pass Family Chiropractic Chiropractor CurrentSince Aug 24, 2015 Accepting new patients

Locations

2245 Stantonsburg Rd
Ste B
Greenville, NC 27834
Phone (252) 751-3866

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1356764179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 30774",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "27833",
            "telephone_number": "910-734-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 STANTONSBURG RD STE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342868",
            "telephone_number": "252-751-3866",
            "fax_number": "252-757-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASS",
        "first_name": "ALLISON",
        "middle_name": "SMITH",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-30",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.