Individual provider Active NPI

Nicholas Alexander Alfieri, D.C.

  • Chiropractor
  • Portage, MI
National Provider Identifier
1659602308
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007257 Issued in IA
Practice address
925 W Milham Ave
Portage, MI 49024-1248
Phone
(269) 327-8990
Fax
(269) 327-6214
NPI assigned
Jan 20, 2010
Last updated
Oct 5, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 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 007257 IA Primary

Addresses

Primary practice location

925 W Milham Ave
Portage, MI 49024-1248

Mailing address

925 W Milham Ave
Portage, MI 49024-1248
Phone (269) 327-8990

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121130000199 MI Practitioner - Chiropractic 0143351866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William J Alfieri DC PCGroup PAC ID 0244312874, 2 clinicians

Practice addresses (Care Compare)

925 W Milham Ave
Alfieri Chiropractic Clinic
Portage, MI 49024-1248
Phone (269) 327-8990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007257IAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
William J Alfieri D.C., P.C. Chiropractor CurrentSince Oct 24, 2012 Accepting new patients

Locations

925 W Milham Ave
Portage, MI 49024
Phone (269) 327-8990

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": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1659602308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 W MILHAM AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241248",
            "telephone_number": "269-327-8990",
            "fax_number": "269-327-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 W MILHAM AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241248",
            "telephone_number": "269-327-8990",
            "fax_number": "269-327-6214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFIERI",
        "first_name": "NICHOLAS",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-20",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

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