Individual provider Active NPI

Alicia Paredes

  • Occupational Health Chiropractor
  • Phoenix, AZ
National Provider Identifier
1376132621
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health ChiropractorTaxonomy code 111NX0100X
License
2020001-01-BE Issued in AZ
Practice address
511 E Camelback Rd
Phoenix, AZ 85012-1615
Phone
(818) 746-6534
NPI assigned
Jan 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Chiropractor 111NX0100X 2020001-01-BE AZ Primary

Addresses

Primary practice location

511 E Camelback Rd
Phoenix, AZ 85012-1615

Mailing address

3820 W Happy Valley Rd Ste 141-142
Glendale, AZ 85310-3292

Other identifiers 1

IdentifierTypeStateIssuer
2020001-01-BEOtherAZSTATE OF ARIZONA BOARD

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2020001-01-BEAZMDOccupational Health Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Commerce Medical Group LLC CurrentSince Jan 17, 2021 Accepting new patients

Locations

3820 W Happy Valley Rd
Ste 141-142
Glendale, AZ 85310

511 E Camelback Rd
Phoenix, AZ 85012
Phone (480) 672-8200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1376132621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 W HAPPY VALLEY RD STE 141-142",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853103292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 E CAMELBACK RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121615",
            "telephone_number": "818-746-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAREDES",
        "first_name": "ALICIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "AZ",
            "license": "2020001-01-BE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ARIZONA BOARD",
            "identifier": "2020001-01-BE",
            "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 Jan 12, 2021; 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.