Individual provider Active NPI

Skyler Alvord, DC

  • Chiropractor
  • Mission Viejo, CA
National Provider Identifier
1003392648
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34698 Issued in CA
Practice address
23032 Alicia Pkwy Ste C
Mission Viejo, CA 92692-1600
Phone
(949) 588-9550
NPI assigned
Jul 17, 2018
Reactivated
Nov 2, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34698 CA Primary

Addresses

Primary practice location

23032 Alicia Pkwy Ste C
Mission Viejo, CA 92692-1600

Mailing address

20 Via Cuenta Nueva
San Clemente, CA 92673-7036
Phone (817) 271-1450

Other practice location 1

950 17th St Ste 200
Denver, CO 80202-2803
Phone (303) 292-9992

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240422002122 NC Practitioner - Chiropractic 1557604485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5 Silva Terra Dr
Suite 100
Wilmington, NC 28412-2373
Phone (910) 523-5176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
CHC Wilmington LLC Chiropractor CurrentSince Feb 22, 2024 Accepting new patients
James P Otoole D C Chiropractor PastSince Aug 2, 2020 Accepting new patients

Locations

5 Silva Terra Dr
Ste 100
Wilmington, NC 28412
Phone (910) 523-5176

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1003392648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 VIA CUENTA NUEVA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926737036",
            "telephone_number": "817-271-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23032 ALICIA PKWY STE C",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926921600",
            "telephone_number": "949-588-9550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 17th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802022803",
            "country_code": "US",
            "telephone_number": "303-292-9992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALVORD",
        "first_name": "SKYLER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-17",
        "last_updated": "2023-11-02",
        "certification_date": "2020-07-20",
        "deactivation_date": "2023-10-27",
        "reactivation_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.