Individual provider Active NPI

Alex James Vanderschelden, D.C.

  • Chiropractor
  • San Juan Capistrano, CA
National Provider Identifier
1487132551
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33856 Issued in CA
Practice address
36461 Rancho Viejo Rd. Suiete 103
Suite 103
San Juan Capistrano, CA 92675
Phone
(949) 388-1432
NPI assigned
Aug 1, 2018
Last updated
Aug 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33856 CA Primary

Addresses

Primary practice location

36461 Rancho Viejo Rd. Suiete 103
Suite 103
San Juan Capistrano, CA 92675

Mailing address

36461 Rancho Viejo Rd. Suite 103
Suite 103
San Juan Capistrano, CA 92675
Phone (949) 388-1432

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
33856CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vanderschelden Chiropractic Corporation Chiropractor Current Accepting new patients

Locations

1601 Dove St
Ste 190
Newport Beach, CA 92660
Phone (714) 713-4531

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": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1487132551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36461 RANCHO VIEJO RD. SUITE 103",
            "address_2": "SUITE 103",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "92675",
            "telephone_number": "949-388-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36461 RANCHO VIEJO RD. SUIETE 103",
            "address_2": "SUITE 103",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "92675",
            "telephone_number": "949-388-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERSCHELDEN",
        "first_name": "ALEX",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.