Danielle Cherish Ballou-Allsup, D.C.
Individual provider Active NPI Chiropractor · Grove, OK
NPI 1477570414 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1477570414
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- OK3584 (OK)
- Practice address
- 1103 E 13TH St
Suite E
Grove, OK 74344-7928 - Phone
- (918) 787-6116
- Fax
- (918) 787-6996
- NPI assigned
- Jul 16, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- 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 Inc
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140320001504 | OK | Practitioner - Chiropractic | 3476784208 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OK3584 | OK | MD | Chiropractor |
| 3584 | OK | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allsup Chiropractic Clinic Inc. | Chiropractor | Current |
Accepting new patients |
Locations
309 W 3rd St
Grove, OK 74344
Phone (918) 787-6116
1103 E 13th St
Ste E
Grove, OK 74344
Phone (918) 787-6116
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | OK3584 | OK | Yes |
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 providers in Grove, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.