Individual provider Active NPI

Shirley Marie Delgado Rivera, D.C.

  • Chiropractor
  • Westlake, OH
National Provider Identifier
1013365709
Registry record updated Mar 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4628 Issued in OH
Practice address
24700 Center Ridge Rd Ste G70
Westlake, OH 44145-5636
Phone
(162) 426-1552
Fax
(216) 242-6507
NPI assigned
Jun 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4628 OH Primary

Addresses

Primary practice location

24700 Center Ridge Rd Ste G70
Westlake, OH 44145-5636

Mailing address

19628 Thornridge Ave
Cleveland, OH 44135-1046
Phone (787) 504-1429

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191111001540 OH Practitioner - Chiropractic 8527490606 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4628OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Chiropractic and Integrative Health Center, LLC CurrentSince Nov 1, 2019 Accepting new patients

Locations

6909 Royalton Rd
Ste 302
Brecksville, OH 44141
Phone (216) 952-3830

8803 Brecksville Rd
Ste 13
Brecksville, OH 44141
Phone (216) 952-3830

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711152000000",
    "number": "1013365709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19628 THORNRIDGE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441351046",
            "telephone_number": "787-504-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24700 CENTER RIDGE RD STE G70",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455636",
            "telephone_number": "162-426-1552",
            "fax_number": "216-242-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO RIVERA",
        "first_name": "SHIRLEY",
        "middle_name": "MARIE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-02",
        "last_updated": "2024-03-23",
        "certification_date": "2024-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2024; 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.