David Mark Allen, D.C.

Individual provider Active NPI Chiropractor · Clarksville, TN

NPI 1598899429 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1598899429
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
DC0000001801 (TN)
Practice address
625 North Riverside Drive
Clarksville, TN 37040
Phone
(931) 542-9420
Fax
(931) 542-9422
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
Yes

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.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Life Chiropractic College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Spine and Physical Medicine, PC (7 clinicians)

Practice addresses (Care Compare)

121 W Dunbar Cave Rd
Clarksville, TN 37040-6037
Phone (931) 542-5420

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20120112000419 TN Practitioner - Chiropractic 9638346737 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Spine & Physical Medicine, PC Chiropractor Current
since Oct 1, 2015
Accepting new patients

Locations

121 W Dunbar Cave Rd
Clarksville, TN 37040
Phone (931) 542-5420

625 N Riverside Dr
Clarksville, TN 37040
Phone (931) 542-5420

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0000001801 TN Yes

Addresses

Primary practice location

625 North Riverside Drive
Clarksville, TN 37040

Mailing address

625 North Riverside Drive
Clarksville, TN 37040
Phone (931) 542-9420

Other identifiers

IdentifierTypeStateIssuer
3971789MedicaidTN
4066601OtherTNBLUE CROSS BLUE SHIELD

Other providers in Clarksville, TN

All providers in Clarksville, TN · Chiropractor in Tennessee

Sources for this page

Verify at the official NPI Registry.