NPIMap

Organization Active NPI

Alvarez Family Chiropractic LLC

  • Chiropractor
  • Deland, FL
National Provider Identifier
1306856034
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7957 Issued in FL
Legal business name
ALVAREZ FAMILY CHIROPRACTIC LLC
Practice address
141 E Indiana Av
Ste B
Deland, FL 32724-4329
Phone
(386) 734-2522
Fax
(386) 734-2502
NPI assigned
Aug 8, 2006
Last updated
Oct 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Authorized official

Name
Mr. Trevor W Maxwell, DCNPI 1225048044
Title
Owner Chiropractic Physician
Phone
(386) 734-2522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7642 FL
Chiropractor 111N00000X CH7957 FL Primary

Addresses

Primary practice location

141 E Indiana Av
Ste B
Deland, FL 32724-4329

Mailing address

141 E Indiana Av
Ste B
Deland, FL 32724-4329
Phone (386) 734-2522

Other identifiers 6

IdentifierTypeStateIssuer
AO971ZOtherFLMEDICARE PTAN
53880OtherFLBLUE CROSS BLUE SHIELD
381396700MedicaidFL
AO988ZOtherFLMEDICARE PTAN
381395900MedicaidFL
55935OtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

141 E Indiana Ave
#B
Deland, FL 32724
Phone (386) 734-2522

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1306856034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 E INDIANA AV",
            "address_2": "STE B",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327244329",
            "telephone_number": "386-734-2522",
            "fax_number": "386-734-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 E INDIANA AV",
            "address_2": "STE B",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327244329",
            "telephone_number": "386-734-2522",
            "fax_number": "386-734-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVAREZ FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "386-734-2522",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7642",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AO971Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "53880",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381396700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AO988Z",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381395900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "55935",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.