Individual provider Active NPI

Paul Dewane Alder, D.C.

  • Chiropractor
  • Spokane, WA
National Provider Identifier
1245237478
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003383 Issued in WA
Practice address
225 W Francis Ave
Ste a
Spokane, WA 99205-6304
Phone
(509) 533-9200
Fax
(509) 533-9300
NPI assigned
Jul 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00003383 WA Primary

Addresses

Primary practice location

225 W Francis Ave
Ste a
Spokane, WA 99205-6304

Mailing address

225 W Francis Ave
Ste a
Spokane, WA 99205-6304
Phone (509) 533-9200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110126001168 WA Practitioner - Chiropractic 8921090416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

225 W Francis Ave
Suite a
Spokane, WA 99205-6304
Phone (509) 533-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alder Family Chiropractic Inc Chiropractor CurrentSince Feb 1, 2003 Accepting new patients

Locations

2818 E 29th Ave
Spokane, WA 99223
Phone (509) 533-9200

225 W Francis Ave
#A
Spokane, WA 99205
Phone (509) 220-4077

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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1245237478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W FRANCIS AVE",
            "address_2": "STE A",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056304",
            "telephone_number": "509-533-9200",
            "fax_number": "509-533-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W FRANCIS AVE",
            "address_2": "STE A",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056304",
            "telephone_number": "509-533-9200",
            "fax_number": "509-533-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDER",
        "first_name": "PAUL",
        "middle_name": "DEWANE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.

Verify at the official NPI Registry.