Individual provider Active NPI

Jonathan Osvaldo Gonzalez Rivera, DC

  • Chiropractor
  • Hartford, CT
National Provider Identifier
1023728318
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2277 Issued in CT
Practice address
24 Lewis St
Hartford, CT 06103-2501
Phone
(860) 278-9141
Fax
(860) 525-4013
NPI assigned
Nov 29, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2277 CT Primary

Addresses

Primary practice location

24 Lewis St
Hartford, CT 06103-2501

Mailing address

24 Lewis St
Hartford, CT 06103-2501
Phone (860) 278-9141

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jgonzalez@sovitahartford.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230207003282 CT Practitioner - Chiropractic 4981076551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2022
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

120 Main St
Danbury, CT 06810-7834
Phone (203) 743-9760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2277CTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Institute for Communities Inc Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Charter Oak Health Center, Inc. CurrentSince Jan 23, 2023 Accepting new patients
Connecticut Institute for Communities Inc Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Charter Oak Health Center, Inc. Single Specialty CurrentSince Jan 23, 2023 Accepting new patients

Locations

120 Main St
Danbury, CT 06810
Phone (203) 456-1406

132 Main St
Danbury, CT 06810
Phone (203) 794-1979

57 North St
Ste 103
Danbury, CT 06810
Phone (203) 744-7007

32 Grand St
Hartford, CT 06106

21 Grand St
Hartford, CT 06106

Organizations & group practices 4

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": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1023728318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 LEWIS ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061032501",
            "telephone_number": "860-278-9141",
            "fax_number": "860-525-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 LEWIS ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061032501",
            "telephone_number": "860-278-9141",
            "fax_number": "860-525-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ RIVERA",
        "first_name": "JONATHAN",
        "middle_name": "OSVALDO",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "2277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgonzalez@sovitahartford.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "24 Lewis St",
            "city": "Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061032501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.