Jacob Nathaniel Alvis, DC
Individual provider Active NPI Chiropractor · Lone Tree, CO
NPI 1912465865 · NPPES record last updated Sep 29, 2020
Key facts
- NPI
- 1912465865
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 0007972 (CO)
- Practice address
- 9898 Rosemont Ave
Ste 101
Lone Tree, CO 80124-4107 - Phone
- (303) 221-3342
- NPI assigned
- Mar 11, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9898 Rosemont Ave
Suite 101
Lone Tree, CO 80124-4107
Phone (303) 221-3342
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191115001620 | CO | Practitioner - Chiropractic | 7113359977 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Acute Chiropractic LLC | Chiropractor | Current |
Accepting new patients |
| Metro Acute Chiropractic and Acupuncture PC | Chiropractor | Current |
Accepting new patients |
| Heuser Chiropractic, P.C. | Chiropractor | Past | Accepting new patients |
| Heuser Chiropractic, P.C. | Chiropractor | Past | Accepting new patients |
Locations
9898 Rosemont Ave
Ste 101
Lone Tree, CO 80124
Phone (303) 221-3342
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0007972 | CO | Yes |
Addresses
Primary practice location
9898 Rosemont Ave
Ste 101
Lone Tree, CO 80124-4107
Mailing address
9898 Rosemont Ave
Ste 101
Lone Tree, CO 80124-4107
Phone (719) 574-6006
Other providers in Lone Tree, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.