Alexandra Nicole Iared, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

31386 Issued in CA

Practice address

325 Clovis Ave Ste 107
Clovis, CA 93612-1151

Phone

(559) 326-0546

Fax

(559) 406-7142

NPI assigned

Mar 25, 2010

Last updated

Sep 17, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: countrychiroclovis@gmaill.com

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.

• Animal Chiropractic Group, Inc.

  dba Country Chiropractic & Wellness

  • Chiropractor
  • Clovis, CA
  • NPI 1174183362
  Authorized official Same address or phone

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1750605325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 CLOVIS AVE STE 107",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936121151",
            "telephone_number": "559-326-0546",
            "fax_number": "559-406-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CLOVIS AVE STE 107",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936121151",
            "telephone_number": "559-326-0546",
            "fax_number": "559-406-7142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Clovis Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936121151",
            "country_code": "US",
            "telephone_number": "559-326-0546",
            "fax_number": "559-406-7142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IARED",
        "first_name": "ALEXANDRA",
        "middle_name": "NICOLE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-25",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "344269",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "countrychiroclovis@gmaill.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "325 Clovis Ave Ste 107",
            "city": "Clovis",
            "state": "CA",
            "country_code": "US",
            "postal_code": "936121151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Chiropractor in Clovis, CA
• Providers in Clovis, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.