Individual provider Active NPI

Heath R Alvidrez, D.C.

  • Chiropractor
  • Lake Havasu City, AZ
National Provider Identifier
1982755203
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7502 Issued in AZ
Practice address
1940 Mesquite Ave Ste a
Lake Havasu City, AZ 86403-5773
Phone
(928) 855-2069
Fax
(982) 855-3909
NPI assigned
Jan 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 7502 AZ Primary

Addresses

Primary practice location

1940 Mesquite Ave Ste a
Lake Havasu City, AZ 86403-5773

Mailing address

1940 Mesquite Ave Ste a
Lake Havasu City, AZ 86403-5773
Phone (928) 855-2069

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170518002234 NM Practitioner - Chiropractic 6305879206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Maria P.C. Dba Caremore Chiropractic CentersGroup PAC ID 9638164148, 5 clinicians

Practice addresses (Care Compare)

2622 San Mateo Blvd NE
Albuquerque, NM 87110-3130
Phone (505) 888-0331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7502AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Maria P.C. Dba Caremore Chiropractic Centers Chiropractor CurrentSince Apr 25, 2017 Accepting new patients
Kearny Chiropractic, LTD. Chiropractor PastSince May 1, 2006 Accepting new patients
Bailey Chiropractic Chiropractor Past Accepting new patients

Locations

1820 Juan Tabo Blvd NE
Albuquerque, NM 87112
Phone (505) 293-6071

3100 Coors Blvd NW
Albuquerque, NM 87120
Phone (505) 831-0022

2622 San Mateo Blvd NE
Albuquerque, NM 87110
Phone (505) 884-8887

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982755203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 MESQUITE AVE STE A",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035773",
            "telephone_number": "928-855-2069",
            "fax_number": "982-855-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 MESQUITE AVE STE A",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035773",
            "telephone_number": "928-855-2069",
            "fax_number": "982-855-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVIDREZ",
        "first_name": "HEATH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.