Individual provider Active NPI

Vicente Chavira, D.C, A.T.C.

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1578831327
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8328 Issued in AZ
Practice address
10 E. Ruth Ave.
Phoenix, AZ 85020-3032
Phone
(480) 888-5555
NPI assigned
Dec 8, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X ATR-001261 AZ
Chiropractor 111N00000X 8328 AZ Primary

Addresses

Primary practice location

10 E. Ruth Ave.
Phoenix, AZ 85020-3032

Mailing address

1410 E. Cholla St.
Phoenix, AZ 85020-1413
Phone (480) 888-5555

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
ATR-001261AZMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Align Chiropractic PLLC Chiropractor CurrentSince Mar 2, 2015 Accepting new patients

Locations

2735 W Union Hills Dr
Ste 102
Phoenix, AZ 85027
Phone (602) 973-1630

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.

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1578831327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 E. CHOLLA ST.",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850201413",
            "telephone_number": "480-888-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E. RUTH AVE.",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850203032",
            "telephone_number": "480-888-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVIRA",
        "first_name": "VICENTE",
        "credential": "D.C, A.T.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-08",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "ATR-001261",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.