Individual provider Active NPI

Alan Edward Delgado, D.C.

  • Chiropractor
  • Pasadena, TX
National Provider Identifier
1275577322
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2319 Issued in TX
Practice address
3910 Fairmont Parkway
Suite H
Pasadena, TX 77504-3066
Phone
(281) 487-3999
Fax
(281) 487-7433
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC2319 TX
Chiropractor 111N00000X 2319 TX Primary

Addresses

Primary practice location

3910 Fairmont Parkway
Suite H
Pasadena, TX 77504-3066

Mailing address

3910
Fairmont Parkway, Suite H
Pasadena, TX 77504-3066
Phone (281) 487-3999

Other identifiers 3

IdentifierTypeStateIssuer
C06000546MedicaidTX
3525446MedicaidTX
DC2319OtherTXSTATE LICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060627000208 TX Practitioner - Chiropractic 1850303322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3910 Fairmont Pkwy
Suite H
Pasadena, TX 77504-3066
Phone (281) 487-3999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2319TXMDChiropractor
DC2319TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Delgado Chiropractic Wellness Center P.C. Chiropractor CurrentSince Jun 16, 2009 Accepting new patients
Delgado Medical Group LLC PastSince Jul 18, 2010 Accepting new patients

Locations

3910 Fairmont Pkwy
Ste H
Pasadena, TX 77504
Phone (281) 487-3999

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1275577322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910",
            "address_2": "FAIRMONT PARKWAY, SUITE H",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775043066",
            "telephone_number": "281-487-3999",
            "fax_number": "281-487-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 FAIRMONT PARKWAY",
            "address_2": "SUITE H",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775043066",
            "telephone_number": "281-487-3999",
            "fax_number": "281-487-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "ALAN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC2319",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C06000546",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3525446",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "DC2319",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.