Individual provider Active NPI

Alexander James Carr, D.C.

  • Chiropractor
  • Prescott, AZ
National Provider Identifier
1356395602
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7388 Issued in AZ
Practice address
347 S Montezuma St
Prescott, AZ 86303-4221
Phone
(928) 776-8230
Fax
(928) 776-1334
NPI assigned
May 20, 2006
Last updated
Mar 8, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7388 AZ Primary

Addresses

Primary practice location

347 S Montezuma St
Prescott, AZ 86303-4221

Mailing address

142 N Rush St
Ste 1
Prescott, AZ 86301-3225
Phone (928) 776-8230

Other identifiers 4

IdentifierTypeStateIssuer
AZ0940730OtherAZBLUE CROSS BLUE SHIELD AZ
7432592OtherAZAETNA HMO
838790OtherAZAHCCCS
120551200522OtherAZHUMANA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080724000090 AZ Practitioner - Chiropractic 7113999566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

142 N Rush St
Prescott, AZ 86301-3225
Phone (928) 776-8230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Health Associates, P.C. Chiropractor CurrentSince Jul 28, 2008 Accepting new patients
Lifestyle Chiropractic LLC Chiropractor Past Accepting new patients

Locations

142 N Rush St
Ste 1
Prescott, AZ 86301
Phone (520) 778-2904

347 S Montezuma St
Prescott, AZ 86303
Phone (926) 776-8230

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, 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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1356395602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 N RUSH ST",
            "address_2": "STE 1",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863013225",
            "telephone_number": "928-776-8230",
            "fax_number": "888-314-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 S MONTEZUMA ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863034221",
            "telephone_number": "928-776-8230",
            "fax_number": "928-776-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "ALEXANDER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD AZ",
            "identifier": "AZ0940730",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "7432592",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "838790",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "120551200522",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.