Individual provider Active NPI

Mary Jeanette Alvarado, DC

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1205903911
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8297 Issued in FL
Practice address
322 S Falkenburg Rd
Tampa, FL 33619-8026
Phone
(813) 626-2311
Fax
(813) 343-4233
NPI assigned
Nov 29, 2006
Last updated
Jun 15, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8297 FL Primary

Addresses

Primary practice location

322 S Falkenburg Rd
Tampa, FL 33619-8026

Mailing address

322 S Falkenburg Rd
Tampa, FL 33619-8026
Phone (813) 626-2311

Other identifiers 1

IdentifierTypeStateIssuer
89286OtherFLBCBS

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH8297FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Spinal Connections of Tampa Bay Chiropractor CurrentSince Aug 22, 2009 Accepting new patients
Sportsmed PT LLC Chiropractor CurrentSince Feb 9, 2022 Accepting new patients
Total Orthopedic Rehabilitation, Inc Chiropractor Past Accepting new patients
Galloway Chiropractic and Health, LLC Chiropractor PastSince Jul 24, 2022 Accepting new patients

Locations

322 S Falkenburg Rd
Tampa, FL 33619
Phone (315) 539-3262

9605 E US Highway 92
Ste A
Tampa, FL 33610
Phone (813) 626-2311

266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5905

1225 Stuyvesant Ave
Union, NJ 07083
Phone (908) 357-1655

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276560000000",
    "number": "1205903911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 S FALKENBURG RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336198026",
            "telephone_number": "813-626-2311",
            "fax_number": "813-343-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 S FALKENBURG RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336198026",
            "telephone_number": "813-626-2311",
            "fax_number": "813-343-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARADO",
        "first_name": "MARY",
        "middle_name": "JEANETTE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2010-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "89286",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.