Individual provider Active NPI

Alexis G Aqui, D.C.

  • Chiropractor
  • Bartow, FL
National Provider Identifier
1649245481
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7980 Issued in FL
Practice address
1350 E Main Street
Suite B1
Bartow, FL 33830
Phone
(863) 534-3288
Fax
(863) 534-3436
NPI assigned
Feb 22, 2006
Last updated
Aug 21, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7980 FL Primary

Addresses

Primary practice location

1350 E Main Street
Suite B1
Bartow, FL 33830

Mailing address

1350 E Main Street
Suite B-1
Bartow, FL 33830
Phone (863) 534-3288

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070621000403 FL Practitioner - Chiropractic 1052410701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1350 E Main St
B 1
Bartow, FL 33830-5064
Phone (863) 534-3288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7980FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Aqui Chiropractic Clinic LLC Chiropractor CurrentSince May 17, 2006 Accepting new patients
Community Rehab & Wellness Inc PastSince May 17, 2006 Accepting new patients

Locations

1350 E Main St
Ste B-1
Bartow, FL 33830
Phone (863) 534-3288

1350 E Main St
Ste B-4
Bartow, FL 33830
Phone (863) 534-3288

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, 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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1649245481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E MAIN STREET",
            "address_2": "SUITE B-1",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "33830",
            "telephone_number": "863-534-3288",
            "fax_number": "863-534-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E MAIN STREET",
            "address_2": "SUITE B1",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "33830",
            "telephone_number": "863-534-3288",
            "fax_number": "863-534-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AQUI",
        "first_name": "ALEXIS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartow, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.