Organization Active NPI

First Chiropractic Alvernon LLC

  • Chiropractor
  • Tucson, AZ
National Provider Identifier
1144256611
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FIRST CHIROPRACTIC ALVERNON LLC
Practice address
1801 S Alvernon Way
Ste 107
Tucson, AZ 85711-6219
Phone
(520) 790-1250
Fax
(520) 790-3477
NPI assigned
Jun 24, 2006
Last updated
Jan 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Dr. Robin Donald O'Neal, DCNPI 1225077043
Title
Owner President
Phone
(520) 886-4213

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 Primary

Addresses

Primary practice location

1801 S Alvernon Way
Ste 107
Tucson, AZ 85711-6219

Mailing address

1801 S Alvernon Way
Ste 107
Tucson, AZ 85711-6219
Phone (520) 790-1250

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040713001052 AZ Part B Supplier - Clinic/Group Practice 5799763991 Receives reassigned benefits from 3 practitioners
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

1801 S Alvernon Way
Ste 107
Tucson, AZ 85711
Phone (520) 790-1250

Practitioners & affiliated clinicians

Practitioners 4

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": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1144256611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 S ALVERNON WAY",
            "address_2": "STE 107",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857116219",
            "telephone_number": "520-790-1250",
            "fax_number": "520-790-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S ALVERNON WAY",
            "address_2": "STE 107",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857116219",
            "telephone_number": "520-790-1250",
            "fax_number": "520-790-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHIROPRACTIC ALVERNON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "O'NEAL",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "520-886-4213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.