Individual provider Active NPI

Alex Manuel Ibarra-Morales

  • Chiropractor
  • Waco, TX
National Provider Identifier
1861286668
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16314 Issued in TX
Practice address
5002 Lakeland Cir Ste B
Waco, TX 76710-2900
Phone
(939) 349-3620
NPI assigned
Apr 7, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16314 TX Primary

Addresses

Primary practice location

5002 Lakeland Cir Ste B
Waco, TX 76710-2900

Mailing address

4900 Bagby Ave Apt 922
Waco, TX 76711-0041
Phone (939) 349-3620

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250507002959 TX Practitioner - Chiropractic 0042737686 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16314TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Calming Voices PLLC CurrentSince Apr 13, 2025 Accepting new patients
Victory Spinal Care Waco LLC Chiropractor CurrentSince May 12, 2025 Accepting new patients

Locations

5002 Lakeland Cir
Ste B
Waco, TX 76710
Phone (254) 296-1325

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1861286668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 BAGBY AVE APT 922",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767110041",
            "telephone_number": "939-349-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 LAKELAND CIR STE B",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102900",
            "telephone_number": "939-349-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARRA-MORALES",
        "first_name": "ALEX",
        "middle_name": "MANUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "16314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.