Active NPI
Robert Wayne Allen, D.C.,CCSP,CKTI
- Chiropractor
- Vancouver, WA
National Provider Identifier
1740473602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00001732
- Practice address
- 811 NE 112TH Ave Ste 101
Vancouver, WA 98684-4944 - Phone
- (360) 892-2226
- Fax
- (360) 892-1204
- NPI assigned
- Aug 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | CH00001732 | WA | Primary |
Addresses
Primary practice location
811 NE 112TH Ave Ste 101
Vancouver, WA 98684-4944
Mailing address
811 NE 112TH Ave Ste 101
Vancouver, WA 98684-4944
Phone (360) 892-2226
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AB10115 | Other | MEDICARE GROUP | |
| AB10327 | Other | MEDICARE INDIVIDUAL | |
| 1356392765 | Other | NPI INDIVIDUAL | |
| 350007584 | Other | MEDICARE RAILROAD | |
| T02545 | Other | UPIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massage by Cecelia | Current | Accepting new patients |
Locations
811 NE 112th Ave
Ste 101
Vancouver, WA 98684
Phone (360) 892-2226
Organizations & group practices 1
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.
-
- Massage Therapist
- Vancouver, WA
- NPI 1114565769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212019200000",
"number": "1740473602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 NE 112TH AVE STE 101",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986844944",
"telephone_number": "360-892-2226",
"fax_number": "360-892-1204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 NE 112TH AVE STE 101",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986844944",
"telephone_number": "360-892-2226",
"fax_number": "360-892-1204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "ROBERT",
"middle_name": "WAYNE",
"credential": "D.C.,CCSP,CKTI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-23",
"last_updated": "2008-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00001732",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "AB10115",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIVIDUAL",
"identifier": "AB10327",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI INDIVIDUAL",
"identifier": "1356392765",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "350007584",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "T02545",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.