Individual provider Active NPI

Dex Thomas Alvarez, D.C.

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1417290859
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10858 Issued in FL
Practice address
1502 S Macdill Ave
Tampa, FL 33629-5214
Phone
(813) 251-0246
Fax
(813) 254-5293
NPI assigned
Apr 4, 2013
Last updated
Apr 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10858 FL Primary

Addresses

Primary practice location

1502 S Macdill Ave
Tampa, FL 33629-5214

Mailing address

1502 S Macdill Ave
Tampa, FL 33629-5214
Phone (813) 251-0246

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130826000683 FL Practitioner - Chiropractic 4789827643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1502 S Macdill Ave
Tampa, FL 33629-5214
Phone (813) 251-0246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH10858FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Palma Ceia Chiropractic and Wellness Center LLC Chiropractor CurrentSince Jul 24, 2013 Accepting new patients

Locations

1502 S Macdill Ave
Tampa, FL 33629
Phone (813) 251-0246

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, 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": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1417290859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 S MACDILL AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295214",
            "telephone_number": "813-251-0246",
            "fax_number": "813-254-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 S MACDILL AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295214",
            "telephone_number": "813-251-0246",
            "fax_number": "813-254-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "DEX",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-04",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.