Individual provider Active NPI

Amanda Allen, D.C.

  • Chiropractor
  • Sunbury, OH
National Provider Identifier
1982064978
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4597 Issued in OH
Practice address
123 State Route 3
Sunbury, OH 43074-6900
Phone
(174) 096-5430
Fax
(740) 965-5182
NPI assigned
Mar 3, 2016
Last updated
May 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4597 OH Primary

Addresses

Primary practice location

123 State Route 3
Sunbury, OH 43074-6900

Mailing address

906 Rooks Cir
Sunbury, OH 43074-7552
Phone (740) 683-1909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160608001651 OH Practitioner - Chiropractic 3577853241 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunbury Chiropractic Center IncGroup PAC ID 7517990054, 6 clinicians

Practice addresses (Care Compare)

123 State Route 3
A
Sunbury, OH 43074-6900
Phone (740) 965-4301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4597OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunbury Chiropractic Center Inc Chiropractor CurrentSince Mar 14, 2018 Accepting new patients
Winchester Chiropractic Clinic, LLC Chiropractor CurrentSince Apr 16, 2016 Accepting new patients

Locations

6425 Post Rd
Ste 101
Dublin, OH 43016
Phone (614) 760-5555

620 W Coshocton St
Johnstown, OH 43031
Phone (740) 967-2225

123 State Route 3
Sunbury, OH 43074
Phone (740) 308-0320

123 State Route 3
#A
Sunbury, OH 43074
Phone (740) 965-4301

123 State Route 3
Ste A
Sunbury, OH 43074
Phone (740) 965-4301

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1982064978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 ROOKS CIR",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430747552",
            "telephone_number": "740-683-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 STATE ROUTE 3",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430746900",
            "telephone_number": "174-096-5430",
            "fax_number": "740-965-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "AMANDA",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-03",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunbury, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.