Brett Kellett Allan Sr., DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC166667 Issued in CA

Practice address

9610 Granite Ridge Dr
Suite C
San Diego, CA 92123-2684

Phone

(858) 573-0550

Fax

(858) 573-0551

NPI assigned

Nov 17, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Direct Health Medical Center Inc

  • Physical Medicine & Rehabilitation Physician
  • San Diego, CA
  • NPI 1376744649

  Chiropractor

  NPD (past) Authorized official
• Activerx Physical Therapy

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • San Diego, CA
  • NPI 1710207931
  NPD (past)
• Axis Medical Management Goup SC

  • Rehabilitation Chiropractor
  • Chicago, IL
  • NPI 1932221397
  NPD (past)
• M & R Rudra Incorporated

  • Chiropractor
  • Chicago, IL
  • NPI 1831372044
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1689747305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 LAGO DI GRATA CIR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921308601",
            "telephone_number": "858-259-0553",
            "fax_number": "858-259-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9610 GRANITE RIDGE DR",
            "address_2": "SUITE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232684",
            "telephone_number": "858-573-0550",
            "fax_number": "858-573-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLAN",
        "first_name": "BRETT",
        "middle_name": "KELLETT",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC166667",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010241",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamad-Kariem Allam
• Sheila Allameh, PSY.D.
• Ellameh Allamehzadeh, DDS
• Allan H. Rabin, M.D., Inc.
• Brett Kellett Allan Jr., DC
• James M Allan, IDC
• Kylie Kathryn Allan, OTD, OTR/L
• Ronalyn Allapitan
• Carolyn Brigitte Allard, PHD
• Joshua Dewayne Allard, IDC

• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.