Shane Allen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8118 Issued in TX

Practice address

1414 S Main St # C14
Lindale, TX 75771-6560

Phone

(903) 881-5172

NPI assigned

Sep 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eagle Chiropractic LLC

  • Chiropractor
  • Lindale, TX
  • NPI 1043910623
  Medicare reassignment NPD Authorized official
• Renewed Health Clinic PLLC

  • Chiropractor
  • Mt Pleasant, TX
  • NPI 1205408564
  Medicare reassignment NPD
• Durrum Chiropractic Clinic LLC

  • Chiropractor
  • Mount Pleasant, TX
  • NPI 1891115069
  NPD
• Allen Chiropractic Clinic PC

  • Chiropractor
  • Littleton, CO
  • NPI 1275635468
  NPD (past)
• Tranquility Chiropractic & Wellness

  • Chiropractor
  • Denver, CO
  • NPI 1326299850
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1679675870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 S MAIN ST # C14",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757716560",
            "telephone_number": "903-881-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 S MAIN ST # C14",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757716560",
            "telephone_number": "903-881-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4925",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1679675870",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Adan, RBT
• Tanweer Ahmed, CNIM
• Steven Wayne Albright, PHARM D
• Ashlyn McKenna Alexander
• Tonya Marie Allen, D.D.S.
• Amanda E. Martin PLLC
• Susan Ann Arias, COTA
• Jake Ashley
• Asn Speech Pathology

• All providers in Lindale, TX
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.