Individual provider Active NPI

Richard Charles Allegro, D.C.

  • Chiropractor
  • Studio City, CA
National Provider Identifier
1457539371
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
17351 Issued in CA
Practice address
12215 Ventura Blvd
Suite 208
Studio City, CA 91604-2533
Phone
(818) 505-0816
Fax
(818) 505-8623
NPI assigned
Feb 1, 2008
Last updated
Feb 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 17351 CA Primary

Addresses

Primary practice location

12215 Ventura Blvd
Suite 208
Studio City, CA 91604-2533

Mailing address

12215 Ventura Blvd
Suite 208
Studio City, CA 91604-2533
Phone (818) 505-0816

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090108000434 CA Practitioner - Chiropractic 7214090851 Practice locations: Studio City, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11712 Moorpark St
Studio City, CA 91604-2158
Phone (818) 761-1814

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17351CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1457539371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12215 VENTURA BLVD",
            "address_2": "SUITE 208",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042533",
            "telephone_number": "818-505-0816",
            "fax_number": "818-505-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12215 VENTURA BLVD",
            "address_2": "SUITE 208",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042533",
            "telephone_number": "818-505-0816",
            "fax_number": "818-505-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEGRO",
        "first_name": "RICHARD",
        "middle_name": "CHARLES",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "17351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.