Individual provider Active NPI

Samuel Daven Alvarez, DC

  • Chiropractor
  • San Angelo, TX
National Provider Identifier
1508450495
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14687 Issued in TX
Practice address
2412 College Hills Blvd Ste 206
San Angelo, TX 76904-8425
Phone
(325) 949-1518
Fax
(325) 223-9290
NPI assigned
Feb 22, 2021
Sex
Male
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2412 College Hills Blvd
San Angelo, TX 76904-8474
Phone (325) 949-1518

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210607001106 TX Practitioner - Chiropractic 5890195200 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14687TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Alvarez Chiropractic Group LLC Chiropractor CurrentSince Jun 5, 2024 Accepting new patients

Locations

2412 College Hills Blvd
Ste 206
San Angelo, TX 76904
Phone (325) 315-8525

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14687 TX Primary

Addresses

Primary practice location

2412 College Hills Blvd Ste 206
San Angelo, TX 76904-8425

Mailing address

2412 College Hills Blvd Ste 206
San Angelo, TX 76904-8425
Phone (325) 949-1518

Other identifiers 1

IdentifierTypeStateIssuer
14687OtherTXCHIROPRACTIC LICENSE

NPI Registry JSON

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1508450495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 COLLEGE HILLS BLVD STE 206",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769048425",
            "telephone_number": "325-949-1518",
            "fax_number": "325-223-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 COLLEGE HILLS BLVD STE 206",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769048425",
            "telephone_number": "325-949-1518",
            "fax_number": "325-223-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "SAMUEL",
        "middle_name": "DAVEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "14687",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.