NPIMap

Organization Active NPI

El Paso Chiropractic Group

  • Chiropractor
  • El Paso, TX
National Provider Identifier
1396916227
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5807 Issued in TX
Legal business name
EL PASO CHIROPRACTIC GROUP
Practice address
1700 N Zaragoza Rd
Ste 116-117
El Paso, TX 79936-7963
Phone
(915) 850-0900
NPI assigned
Mar 19, 2008
Last updated
May 29, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
INJURY MEDICAL CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Dr. Alexander D Jimenez, DC
Title
Medical Director
Phone
(915) 775-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5807 TX Primary

Addresses

Primary practice location

1700 N Zaragoza Rd
Ste 116-117
El Paso, TX 79936-7963

Mailing address

1700 N Zaragoza Rd
Ste 116-117
El Paso, TX 79936-7963
Phone (915) 850-0900

Other identifiers 4

IdentifierTypeStateIssuer
4270807OtherAETNA
8AM290OtherTXBCBS TEXAS
10736690OtherCAQH
8C0040OtherBCBS

National Provider Directory

National Provider Directory
Tax ID family
El Paso Chiropractic Group2 organizations share this tax ID, including this one
Part of
Injury Medical Clinic PA

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1700 N Zaragoza Rd
Ste 116117
El Paso, TX 79936
Phone (915) 850-0900

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1396916227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N ZARAGOZA RD",
            "address_2": "STE 116-117",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367963",
            "telephone_number": "915-850-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N ZARAGOZA RD",
            "address_2": "STE 116-117",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367963",
            "telephone_number": "915-850-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL PASO CHIROPRACTIC GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INJURY MEDICAL CLINIC",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "915-775-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4270807",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TEXAS",
            "identifier": "8AM290",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10736690",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8C0040",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.