Individual provider Active NPI

Carlos Francisco Rivera Pagan, DC

  • Chiropractor
  • Bentonville, AR
National Provider Identifier
1144950502
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12408 Issued in AR
Practice address
3103 N Walton Blvd
Bentonville, AR 72712-3944
Phone
(479) 273-2122
NPI assigned
Jun 16, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 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 12408 AR Primary

Addresses

Primary practice location

3103 N Walton Blvd
Bentonville, AR 72712-3944

Mailing address

3103 N Walton Blvd
Bentonville, AR 72712-3944
Phone (479) 273-2122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12408ARMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Palmas Chiropractic LLC Chiropractor CurrentSince Aug 6, 2024 Accepting new patients
Badell Chiropractic Clinic LLC Chiropractor PastSince Jul 21, 2024 Accepting new patients

Locations

3103 N Walton Blvd
Bentonville, AR 72712
Phone (479) 273-2122

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": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1144950502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 N WALTON BLVD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123944",
            "telephone_number": "479-273-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 N WALTON BLVD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123944",
            "telephone_number": "479-273-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA PAGAN",
        "first_name": "CARLOS",
        "middle_name": "FRANCISCO",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-16",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "12408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.