Active NPI
Rex Martin Alvord Jr., MD
- Addiction Medicine (Family Medicine) Physician
- Tacoma, WA
National Provider Identifier
1104958693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- MD00035185
- Practice address
- 2201 S 19TH St
Tacoma, WA 98405-2962 - Phone
- (253) 272-3056
- NPI assigned
- Mar 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | MD00035185 | WA | Primary |
Addresses
Primary practice location
2201 S 19TH St
Tacoma, WA 98405-2962
Mailing address
711 N Carr St
Tacoma, WA 98403-3012
Phone (253) 222-2172
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00035185 | WA | MD | Addiction Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104958693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 N CARR ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984033012",
"telephone_number": "253-222-2172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 S 19TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984052962",
"telephone_number": "253-272-3056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVORD",
"first_name": "REX",
"middle_name": "MARTIN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "WA",
"license": "MD00035185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.