Active NPI
Jackeline M Alvarez, DC
- Chiropractor
- Deland, FL
National Provider Identifier
1437169158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH7642
- Practice address
- 141 E Indiana Av
Ste B
Deland, FL 32724-4329 - Phone
- (386) 734-2522
- Fax
- (386) 734-2502
- NPI assigned
- Aug 8, 2006
- Last updated
- Oct 29, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH7642 | FL | Primary |
Addresses
Primary practice location
141 E Indiana Av
Ste B
Deland, FL 32724-4329
Mailing address
141 E Indiana Av
Ste B
Deland, FL 32724-4329
Phone (386) 734-2522
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55935 | Other | FL | BLUE CROSS BLUE SHIELD |
| AO971Z | Other | FL | MEDICARE PTAN |
| 321395900 | Medicaid | FL |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alvarez Family Chiropractic LLC | Chiropractor | Past | Accepting new patients |
| Alvarez Chiropractic PA | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Deland, FL
- NPI 1720186927
-
- Chiropractor
- Deland, FL
- NPI 1306856034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225238400000",
"number": "1437169158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 E INDIANA AV",
"address_2": "STE B",
"city": "DELAND",
"state": "FL",
"postal_code": "327244329",
"telephone_number": "386-734-2522",
"fax_number": "386-734-2502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 E INDIANA AV",
"address_2": "STE B",
"city": "DELAND",
"state": "FL",
"postal_code": "327244329",
"telephone_number": "386-734-2522",
"fax_number": "386-734-2502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVAREZ",
"first_name": "JACKELINE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2008-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH7642",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "55935",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "AO971Z",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "321395900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Deland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.