Individual provider Active NPI

Alexander Michael Tuft

  • Chiropractor
  • San Jose, CA
National Provider Identifier
1508483777
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34825 Issued in CA
Practice address
5150 Graves Ave Ste 5a
San Jose, CA 95129-5005
Phone
(408) 996-0203
NPI assigned
Jul 2, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34825 CA Primary

Addresses

Primary practice location

5150 Graves Ave Ste 5a
San Jose, CA 95129-5005

Mailing address

5150 Graves Ave Ste 5a
San Jose, CA 95129-5005
Phone (408) 996-0203

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200915000421 CA Practitioner - Chiropractic 2769800382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tuft Back on Track Chiropractic IncGroup PAC ID 1759763303, 2 clinicians

Practice addresses (Care Compare)

5150 Graves Ave
Suite 5a
San Jose, CA 95129-5005
Phone (408) 996-0203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34825CAMDLicensed Psychiatric Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Tuft Back on Track Chiropractic Inc Chiropractor CurrentSince Aug 1, 2022 Accepting new patients
Family Chiropractic Care Inc. Chiropractor PastSince Jul 1, 2020 Accepting new patients

Locations

5150 Graves Ave
Ste 5A
San Jose, CA 95129
Phone (408) 416-6459

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1508483777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 GRAVES AVE STE 5A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951295005",
            "telephone_number": "408-996-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 GRAVES AVE STE 5A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951295005",
            "telephone_number": "408-996-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUFT",
        "first_name": "ALEXANDER",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-02",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.