Active NPI
Samuel Daven Alvarez, DC
- Chiropractor
- San Angelo, TX
National Provider Identifier
1508450495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14687
- 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.
-
- Chiropractor
- San Angelo, TX
- NPI 1518714005
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210607001106 | TX | Practitioner - Chiropractic | 5890195200 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14687 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alvarez Chiropractic Group LLC | Chiropractor | Current | Accepting new patients |
Locations
2412 College Hills Blvd
Ste 206
San Angelo, TX 76904
Phone (325) 315-8525
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14687 | Other | TX | CHIROPRACTIC LICENSE |
NPI Registry JSON
{
"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.