Active NPI
Alicia Paredes
- Occupational Health Chiropractor
- Phoenix, AZ
National Provider Identifier
1376132621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Health Chiropractor
- License
- 2020001-01-BE
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2020001-01-BE | Other | AZ | STATE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2020001-01-BE | AZ | MD | Occupational Health Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commerce Medical Group LLC | Current | 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.
-
- Chiropractor
- Tempe, AZ
- NPI 1396327979
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.