Organization Active NPI

Matthew J Alvord DC LTD

  • Chiropractor
  • Eden Prairie, MN
National Provider Identifier
1275787376
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3222 Issued in MN
Legal business name
MATTHEW J ALVORD DC LTD
Practice address
8781 Columbine Rd
Eden Prairie, MN 55344-6695
Phone
(952) 944-2133
Fax
(952) 914-7335
NPI assigned
Nov 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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

Authorized official

Name
Mr. Matthew John Alvord, DC
Title
Owner/President
Phone
(952) 944-2133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3222 MN Primary

Addresses

Primary practice location

8781 Columbine Rd
Eden Prairie, MN 55344-6695

Mailing address

8781 Columbine Rd
Eden Prairie, MN 55344-6695
Phone (952) 944-2133

Other identifiers 2

IdentifierTypeStateIssuer
98354600 MNMedicaidMN
1063410363OtherMNINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

8781 Columbine Rd
Eden Prairie, MN 55344
Phone (952) 944-2133

NPI Registry JSON

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1275787376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8781 COLUMBINE RD",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553446695",
            "telephone_number": "952-944-2133",
            "fax_number": "952-914-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8781 COLUMBINE RD",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553446695",
            "telephone_number": "952-944-2133",
            "fax_number": "952-914-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW J ALVORD DC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-17",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "ALVORD",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "952-944-2133",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98354600 MN",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1063410363",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.