Active NPI
Allen Gordon Green, DC
- Chiropractor
- Woodinville, WA
National Provider Identifier
1669415956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00001603
- Practice address
- 17401 135TH Ave NE
#4
Woodinville, WA 98072 - Phone
- (425) 483-2320
- Fax
- (425) 424-3256
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00001603 | WA | Primary |
Addresses
Primary practice location
17401 135TH Ave NE
#4
Woodinville, WA 98072
Mailing address
17401 135TH Ave NE
#4
Woodinville, WA 98072
Phone (425) 483-2320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 1980
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
17401 135TH Ave NE
Suite 4
Woodinville, WA 98072-6825
Phone (425) 483-2320
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00001603 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Care Center, Inc. | Chiropractor | Current | Accepting new patients |
| Formo Enterprises, Inc | Past | Accepting new patients |
Locations
17401 135th Ave NE
Ste 4
Woodinville, WA 98072
Phone (425) 483-2320
Organizations & group practices 2
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.
-
- Chiropractor
- Woodinville, WA
- NPI 1386910123
-
- Nutrition Chiropractor
- Woodinville, WA
- NPI 1275899460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1669415956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17401 135TH AVE NE",
"address_2": "#4",
"city": "WOODINVILLE",
"state": "WA",
"postal_code": "98072",
"telephone_number": "425-483-2320",
"fax_number": "425-424-3256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17401 135TH AVE NE",
"address_2": "#4",
"city": "WOODINVILLE",
"state": "WA",
"postal_code": "98072",
"telephone_number": "425-483-2320",
"fax_number": "425-424-3256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "ALLEN",
"middle_name": "GORDON",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00001603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodinville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.