Individual provider Active NPI

Alexandra Marie Aldridge, D.C.

  • Chiropractor
  • Portland, OR
National Provider Identifier
1326408618
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5715 Issued in OR
Practice address
806 SW Broadway
Suite 350
Portland, OR 97205-3333
Phone
(503) 224-9513
Fax
(503) 224-9595
NPI assigned
Feb 29, 2016
Last updated
Feb 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5715 OR Primary

Addresses

Primary practice location

806 SW Broadway
Suite 350
Portland, OR 97205-3333

Mailing address

806 SW Broadway
Suite 350
Portland, OR 97205-3333
Phone (503) 224-9513

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191007000066 TX Practitioner - Chiropractic 0244538155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Melvin C Aldridge Jr D C P CGroup PAC ID 5193841690, 2 clinicians

Practice addresses (Care Compare)

6733 Fairmont Pkwy
Pasadena, TX 77505-4403
Phone (281) 991-7676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5715ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Melvin C Aldridge Jr D C P C Chiropractor CurrentSince Sep 1, 2019 Accepting new patients

Locations

6733 Fairmont Pkwy
Pasadena, TX 77505
Phone (281) 991-7676

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1326408618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 SW BROADWAY",
            "address_2": "SUITE 350",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053333",
            "telephone_number": "503-224-9513",
            "fax_number": "503-224-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 SW BROADWAY",
            "address_2": "SUITE 350",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053333",
            "telephone_number": "503-224-9513",
            "fax_number": "503-224-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDRIDGE",
        "first_name": "ALEXANDRA",
        "middle_name": "MARIE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.