Individual provider Active NPI

Alfredo J Vazquez, DC

  • Chiropractor
  • League City, TX
National Provider Identifier
1124162276
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10532 Issued in TX
Practice address
103 Davis Rd Ste a
League City, TX 77573-2769
Phone
(832) 647-0761
Fax
(713) 481-6229
NPI assigned
Feb 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 10532 TX
Occupational Health Chiropractor 111NX0100X 10532 TX
Chiropractor 111N00000X 10532 TX Primary

Addresses

Primary practice location

103 Davis Rd Ste a
League City, TX 77573-2769

Mailing address

2925 Gulf Fwy S Ste B
League City, TX 77573-6769
Phone (832) 647-0761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070823000864 TX Practitioner - ChiropracticPractitioner - Preventive MedicinePractitioner - Physical Medicine and RehabilitationPractitioner - Osteopathic Manipulative Medicine 4587756325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Osteopathic Manipulative Medicine, Physical Medicine and Rehabilitation, Preventive Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

103 Davis Rd
Suite a
League City, TX 77573-2769
Phone (832) 647-0761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10532TXMDProfessional Counselor

Organizations & group practices 1

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": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1124162276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 GULF FWY S STE B",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775736769",
            "telephone_number": "832-647-0761",
            "fax_number": "281-282-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 DAVIS RD STE A",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732769",
            "telephone_number": "832-647-0761",
            "fax_number": "713-481-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "ALFREDO",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "10532",
            "primary": false
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "TX",
            "license": "10532",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.