Organization Active NPI

Alvis Chiropractic LLC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1093093320
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3894 Issued in OR
Legal business name
ALVIS CHIROPRACTIC LLC
Practice address
2916 NE Broadway St
Suite B
Portland, OR 97232-1897
Phone
(503) 477-4230
NPI assigned
Aug 3, 2011
Last updated
Oct 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Authorized official

Name
Dr. Andrew Alvis, D.C.NPI 1134407463
Title
Owner/Chiropractor
Phone
(503) 477-4230

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3894 OR Primary

Addresses

Primary practice location

2916 NE Broadway St
Suite B
Portland, OR 97232-1897

Mailing address

2916 NE Broadway St
Suite B
Portland, OR 97232-1897
Phone (503) 477-4230

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111027000641 OR Part B Supplier - Clinic/Group Practice 3577736032 Receives reassigned benefits from 2 practitioners
Practice locations: Portland, OR; Hood River, OR

National Provider Directory

National Provider Directory

Locations

114 Cascade Ave
Hood River, OR 97031
Phone (541) 386-3937

2916 NE Broadway St
Ste B
Portland, OR 97232
Phone (503) 477-4230

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1093093320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 NE BROADWAY ST",
            "address_2": "SUITE B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321897",
            "telephone_number": "503-477-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 NE BROADWAY ST",
            "address_2": "SUITE B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321897",
            "telephone_number": "503-477-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVIS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-03",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "ALVIS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "503-477-4230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.