Individual provider Active NPI

Alejandro Portuondo, DC

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1811314982
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B01534 Issued in NV
Practice address
6372 McLeod Dr Ste 1
Las Vegas, NV 89120-4415
Phone
(702) 879-4455
Fax
(702) 850-2548
NPI assigned
Mar 26, 2014
Last updated
Apr 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B01534 NV Primary

Addresses

Primary practice location

6372 McLeod Dr Ste 1
Las Vegas, NV 89120-4415

Mailing address

6372 McLeod Dr Ste 1
Las Vegas, NV 89120-4415
Phone (702) 879-4455

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231117002445 NV Practitioner - Chiropractic 4284082975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6372 McLeod Dr
Suite 1
Las Vegas, NV 89120-4415
Phone (702) 879-4455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ap & Associates Inc. Chiropractor CurrentSince Mar 22, 2023 Accepting new patients

Locations

6372 McLeod Dr
Ste 1
Las Vegas, NV 89120
Phone (702) 879-4455

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": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1811314982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6372 MCLEOD DR STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204415",
            "telephone_number": "702-879-4455",
            "fax_number": "702-850-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6372 MCLEOD DR STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204415",
            "telephone_number": "702-879-4455",
            "fax_number": "702-850-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTUONDO",
        "first_name": "ALEJANDRO",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.