Kevin Dean Allen, DC
Individual provider Active NPI Chiropractor · Andover, KS
NPI 1972508166 · NPPES record last updated Jun 22, 2016
Key facts
- NPI
- 1972508166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 01-04696 (KS)
- Practice address
- 215 S Andover Rd
Andover, KS 67002-7919 - Phone
- (316) 733-0715
- Fax
- (316) 733-5014
- NPI assigned
- Jun 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
215 S Andover Rd
Suite E
Andover, KS 67002-8055
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050622000441 | KS | Practitioner - Chiropractic | 0749225696 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-04696 | KS | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-04696 | KS | Yes |
Addresses
Primary practice location
215 S Andover Rd
Andover, KS 67002-7919
Mailing address
215 S Andover Rd
Ste E
Andover, KS 67002-7919
Phone (316) 733-0715
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9533 | Other | KS | PREFERRED PLUS OF KANSAS |
Other providers in Andover, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.