Allegiant Integrative Medicine

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ALLEGIANT INTEGRATIVE MEDICINE

Practice address

229 N Egan Ave
Burns, OR 97720

Phone

(541) 573-7733

NPI assigned

Jul 8, 2019

Last updated

Jul 8, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin S Johnson, DCNPI 1194867200

Title

Owner/Ceo

Phone

(541) 573-7733

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 2

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.

• Kevin Stuart Johnson, DC

  • Chiropractor
  • Burns, OR
  • NPI 1194867200
  Medicare reassignment NPD Authorized official
• Aislinn Rhea Cassels-Hyde, D.C.

  • Chiropractor
  • Bend, OR
  • NPI 1962093328
  Medicare reassignment NPD

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562544000000",
    "number": "1700448032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 N EGAN AVE",
            "city": "BURNS",
            "state": "OR",
            "postal_code": "97720",
            "telephone_number": "541-573-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 N EGAN AVE",
            "city": "BURNS",
            "state": "OR",
            "postal_code": "97720",
            "telephone_number": "541-573-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGIANT INTEGRATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "541-573-7733",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Access Prime Pharmcy LLC
• Carol L Adams, ADES, CADC, CGAC
• Imran Akram, THERAPIST
• Rebecca Roxanne Allen, CHW
• Deana Altman, MBA, MSN, QMHP, RN
• Arntz Medical
• Melanie Sue Arntz, FNP
• James D Atwood, M.S., QMHP

• General Practice Physician in Burns, OR
• Providers in Burns, OR by specialty
• General Practice Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.