Individual provider Active NPI

Alexander David Jimenez, DC

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1205907805
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1191402 Issued in TX
Practice address
11860 Vista del Sol
Suite 128
El Paso, TX 79936-6128
Phone
(915) 412-6677
Fax
(866) 574-1351
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1191402 TX Primary
Chiropractor 111N00000X DC5807 TX
Chiropractor 111N00000X DC2182 NM

Addresses

Primary practice location

11860 Vista del Sol
Suite 128
El Paso, TX 79936-6128

Mailing address

11860 Vista del Sol Dr Ste 128
El Paso, TX 79936-6128
Phone (915) 412-6677

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address billing@elpasobackclinic.com Direct Injury Medical Clinic PA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071214000582 TX Practitioner - Chiropractic 7214027176 Reassigns benefits to 1 organization
I20251022004877 TX Practitioner - Nurse Practitioner 7214027176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11860 Vista del Sol Dr
El Paso, TX 79936-6128
Phone (915) 412-6677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
DC2182NMMDChiropractor
DC5807TXMDChiropractor
1191402TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ultimate Function Chiropractic, LLC Chiropractor Past Accepting new patients

Organizations & group practices 2

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1205907805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11860 VISTA DEL SOL DR STE 128",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366128",
            "telephone_number": "915-412-6677",
            "fax_number": "866-574-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11860 VISTA DEL SOL",
            "address_2": "SUITE 128",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366128",
            "telephone_number": "915-412-6677",
            "fax_number": "866-574-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "ALEXANDER",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1191402",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC5807",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "DC2182",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billing@elpasobackclinic.com",
            "affiliation": "Y",
            "endpointDescription": "main email address",
            "affiliationName": "Injury Medical Clinic PA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "11860 Vista del Sol",
            "address_2": "Suite 128",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799366128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.