Individual provider Active NPI

Martin Alejandro Aviles, DC

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1629835798
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15947 Issued in TX
Practice address
5616 Preston Oaks Rd Apt 1201
Dallas, TX 75254-8475
Phone
(318) 527-6315
NPI assigned
Mar 4, 2024
Last updated
Mar 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15947 TX Primary

Addresses

Primary practice location

5616 Preston Oaks Rd Apt 1201
Dallas, TX 75254-8475

Mailing address

5616 Preston Oaks Rd Apt 1201
Dallas, TX 75254-8475
Phone (318) 527-6315

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240725001237 TX Practitioner - Chiropractic 8729524822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Integrative Medical Group PLLCGroup PAC ID 1850613431, 9 clinicians

Practice addresses (Care Compare)

6836 Bee Caves Rd
Suite 200
Austin, TX 78746-5059
Phone (512) 442-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15947TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Integrative Medical Group PLLC CurrentSince Jun 12, 2024 Accepting new patients

Locations

6836 Bee Caves Rd
Bldg 1
Austin, TX 78746
Phone (512) 347-0044

6836 Bee Caves Rd
Ste 200
Austin, TX 78746
Phone (512) 442-2727

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": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1629835798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5616 PRESTON OAKS RD APT 1201",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752548475",
            "telephone_number": "318-527-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5616 PRESTON OAKS RD APT 1201",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752548475",
            "telephone_number": "318-527-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILES",
        "first_name": "MARTIN",
        "middle_name": "ALEJANDRO",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.