Individual provider Active NPI

Albert Alyeshmerni, DC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1346257409
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
AZ04131 Issued in AZ
Practice address
1427 E Bell Rd
Suite 104
Phoenix, AZ 85022-2712
Phone
(602) 863-9003
Fax
(602) 993-3014
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X AZ04131 AZ Primary

Addresses

Primary practice location

1427 E Bell Rd
Suite 104
Phoenix, AZ 85022-2712

Mailing address

1427 E Bell Rd
Suite 104
Phoenix, AZ 85022-2712
Phone (602) 863-9003

Other identifiers 1

IdentifierTypeStateIssuer
AZ0231210OtherAZBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AZ04131AZMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242259200000",
    "number": "1346257409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 E BELL RD",
            "address_2": "SUITE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850222712",
            "telephone_number": "602-863-9003",
            "fax_number": "602-993-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 E BELL RD",
            "address_2": "SUITE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850222712",
            "telephone_number": "602-863-9003",
            "fax_number": "602-993-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALYESHMERNI",
        "first_name": "ALBERT",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2009-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "AZ04131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0231210",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; 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.