NPIMap

Individual provider Active NPI

Andre Chester Fournier, D.C.

  • Chiropractor
  • Tucson, AZ
National Provider Identifier
1679617856
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7265 Issued in AZ
Practice address
4580 E Grant Rd
Suite 160
Tucson, AZ 85712-2648
Phone
(520) 326-2100
Fax
(520) 326-2110
NPI assigned
Feb 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7265 AZ Primary

Addresses

Primary practice location

4580 E Grant Rd
Suite 160
Tucson, AZ 85712-2648

Mailing address

5201 S Fox Trot Dr
Tucson, AZ 85746-1116
Phone (520) 331-2036

Other identifiers 7

IdentifierTypeStateIssuer
943656MedicaidAZ
2Z3143OtherAZHEALTHNET PROV. # ID
3949OtherAZAZ PHYSIOTHERAPY #
646119OtherAZACN NETWORK PROV. #
AZ0442830OtherAZBCBS #
1036605OtherAZASHN PROV. #
7265OtherAZCHIROPRACTIC LICENSE #

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
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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
7265AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
First Chiropractic Valencia LLC Chiropractor Past Accepting new patients
First Chiropractic St. Mary's LLC Chiropractor PastSince Mar 27, 2015 Accepting new patients
Sonoran Health Center, LLC Chiropractor Past Accepting new patients

Organizations & group practices 3

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": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1679617856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 S FOX TROT DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857461116",
            "telephone_number": "520-331-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 E GRANT RD",
            "address_2": "SUITE 160",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122648",
            "telephone_number": "520-326-2100",
            "fax_number": "520-326-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOURNIER",
        "first_name": "ANDRE",
        "middle_name": "CHESTER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "943656",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET PROV. # ID",
            "identifier": "2Z3143",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ PHYSIOTHERAPY #",
            "identifier": "3949",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN NETWORK PROV. #",
            "identifier": "646119",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS #",
            "identifier": "AZ0442830",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHN PROV. #",
            "identifier": "1036605",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE #",
            "identifier": "7265",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.