Active NPI
Michael A Ontiveros, D.C.
- Chiropractor
- El Paso, TX
National Provider Identifier
1174561351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 9815
- Practice address
- 3800 N Mesa St
Ste C-1
El Paso, TX 79902-1538 - Phone
- (915) 838-1500
- Fax
- (915) 838-1700
- NPI assigned
- Jun 2, 2006
- Last updated
- Oct 1, 2012
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 9815 | TX | Primary |
Addresses
Primary practice location
3800 N Mesa St
Ste C-1
El Paso, TX 79902-1538
Mailing address
3800 N Mesa St
Ste C-1
El Paso, TX 79902-1538
Phone (915) 838-1500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8V5180 | Other | TX | BC/BS OF TEXAS |
| 8F5089 | Other | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3800 N Mesa St
Suite C1
El Paso, TX 79902-1535
Phone (915) 838-1500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9815 | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Sun Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
Locations
3800 N Mesa St
Ste C1
El Paso, TX 79902
Phone (915) 838-1500
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- El Paso, TX
- NPI 1528151644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1174561351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 N MESA ST",
"address_2": "STE C-1",
"city": "EL PASO",
"state": "TX",
"postal_code": "799021538",
"telephone_number": "915-838-1500",
"fax_number": "915-838-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 N MESA ST",
"address_2": "STE C-1",
"city": "EL PASO",
"state": "TX",
"postal_code": "799021538",
"telephone_number": "915-838-1500",
"fax_number": "915-838-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONTIVEROS",
"first_name": "MICHAEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "9815",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF TEXAS",
"identifier": "8V5180",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "8F5089",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.