Individual provider Active NPI

Nancy Ellis Alves, D.C.

  • Chiropractor
  • Garland, TX
National Provider Identifier
1083759526
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC4152 Issued in TX
Practice address
3633 Broadway Blvd Ste a
Garland, TX 75043-1671
Phone
(972) 864-0539
Fax
(972) 864-8888
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC4152 TX Primary

Addresses

Primary practice location

3633 Broadway Blvd Ste a
Garland, TX 75043-1671

Mailing address

3633 Broadway Blvd Ste a
Garland, TX 75043-1671
Phone (972) 864-0539

Other identifiers 1

IdentifierTypeStateIssuer
752131220OtherTXTAX ID #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110217000571 TX Practitioner - Chiropractic 0244411635 Practice locations: Garland, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3633 -A Broadway Blvd
Garland, TX 75043-1671

3633 Broadway Blvd a
Garland, TX 75043-1671
Phone (972) 864-0539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC4152TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1083759526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 BROADWAY BLVD STE A",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431671",
            "telephone_number": "972-864-0539",
            "fax_number": "972-864-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 BROADWAY BLVD STE A",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431671",
            "telephone_number": "972-864-0539",
            "fax_number": "972-864-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVES",
        "first_name": "NANCY",
        "middle_name": "ELLIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC4152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "752131220",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.