Individual provider Active NPI

Kevin Troy Allen, DC

  • Chiropractor
  • Washington, UT
National Provider Identifier
1508807678
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
58182691202 Issued in UT
Practice address
43 N 300 W
Suite B
Washington, UT 84780-1524
Phone
(435) 986-1021
Fax
(435) 986-1041
NPI assigned
Jun 9, 2006
Last updated
Jan 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 58182691202 UT Primary

Addresses

Primary practice location

43 N 300 W
Suite B
Washington, UT 84780-1524

Mailing address

43 N 300 W
Suite B
Washington, UT 84780-1524
Phone (435) 986-1021

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050505000176 UT Practitioner - Chiropractic 9234179649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

43 N 300 W B
Washington, UT 84780-1524
Phone (435) 986-1021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58182691202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Allen Chiropractic Care LC Chiropractor CurrentSince Dec 9, 2006 Accepting new patients

Locations

43 N 300 W
Ste B
Washington, UT 84780
Phone (435) 313-0620

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1508807678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 N 300 W",
            "address_2": "SUITE B",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847801524",
            "telephone_number": "435-986-1021",
            "fax_number": "435-986-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 N 300 W",
            "address_2": "SUITE B",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847801524",
            "telephone_number": "435-986-1021",
            "fax_number": "435-986-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "KEVIN",
        "middle_name": "TROY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "58182691202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.