Organization Active NPI

Allen Chiropractic Center

  • Chiropractor
  • Starkville, MS
National Provider Identifier
1528223237
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0911 Issued in MS
Legal business name
ALLEN CHIROPRACTIC CENTER
Practice address
100 Willow Rd
Starkville, MS 39759-3637
Phone
(662) 320-9300
Fax
(662) 320-9356
NPI assigned
Jul 22, 2008
Last updated
May 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2009

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

Authorized official

Name
Michael David Allen, D.C.NPI 1558454967
Title
Chiropractor/Owner
Phone
(662) 320-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0911 MS Primary

Addresses

Primary practice location

100 Willow Rd
Starkville, MS 39759-3637

Mailing address

100 Willow Rd
Starkville, MS 39759-3637
Phone (662) 320-9300

Other identifiers 1

IdentifierTypeStateIssuer
07358016MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080812000612 MS Part B Supplier - Clinic/Group Practice 3577638410 Receives reassigned benefits from 1 practitioner
Practice locations: Starkville, MS

National Provider Directory

National Provider Directory

Locations

100 Willow Rd
Starkville, MS 39759
Phone (662) 320-9300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1528223237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILLOW RD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593637",
            "telephone_number": "662-320-9300",
            "fax_number": "662-320-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WILLOW RD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593637",
            "telephone_number": "662-320-9300",
            "fax_number": "662-320-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "662-320-9300",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "0911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07358016",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.