Organization Active NPI

Allied Spine and Sports Chiropractic, PC

  • Chiropractor
  • Syracuse, NY
National Provider Identifier
1649601022
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
010892 Issued in NY
Legal business name
ALLIED SPINE AND SPORTS CHIROPRACTIC, PC
Practice address
183 Intrepid LN
Syracuse, NY 13205-2548
Phone
(315) 498-6888
Fax
(315) 498-6889
NPI assigned
Dec 10, 2013
Last updated
Apr 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Authorized official

Name
Dr. Kenneth Barrett Parker, DC, CCSPNPI 1962593327
Title
Owner/President
Phone
(315) 498-6888

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 010892 NY Primary

Addresses

Primary practice location

183 Intrepid LN
Syracuse, NY 13205-2548

Mailing address

183 Intrepid LN
Syracuse, NY 13205-2548
Phone (315) 498-6888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140422001542 NY Part B Supplier - Clinic/Group Practice 0244462489 Receives reassigned benefits from 4 practitioners
Practice locations: Baldwinsville, NY; Syracuse, NY

National Provider Directory

National Provider Directory

Locations

100 Intrepid Ln
Syracuse, NY 13205
Phone (315) 492-4064

182 Intrepid Ln
Syracuse, NY 13205
Phone (315) 218-7020

Practitioners & affiliated clinicians

Practitioners 9

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": "1386633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1649601022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 INTREPID LN",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052548",
            "telephone_number": "315-498-6888",
            "fax_number": "315-498-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 INTREPID LN",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052548",
            "telephone_number": "315-498-6888",
            "fax_number": "315-498-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED SPINE AND SPORTS CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-10",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "BARRETT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "315-498-6888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, CCSP"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "010892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.