Organization Active NPI

Rivera Chiropractic Inc.

  • Chiropractor
  • Lutz, FL
National Provider Identifier
1245309574
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8456 Issued in FL
Legal business name
RIVERA CHIROPRACTIC INC.
Practice address
23520 State Road 54
Suite 102
Lutz, FL 33559-6753
Phone
(813) 949-4940
Fax
(813) 949-4163
NPI assigned
Nov 8, 2006
Last updated
Jun 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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

Authorized official

Name
Dr. Elliot M Rivera, D.C.NPI 1467492140
Title
Owner
Phone
(813) 949-4940

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH8456 FL Primary

Addresses

Primary practice location

23520 State Road 54
Suite 102
Lutz, FL 33559-6753

Mailing address

23520 State Road 54
Suite 102
Lutz, FL 33559-6753
Phone (813) 949-4940

National Provider Directory

National Provider Directory

Locations

23520 State Road 54
Ste 102
Lutz, FL 33559
Phone (813) 909-4430

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1245309574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23520 STATE ROAD 54",
            "address_2": "SUITE 102",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335596753",
            "telephone_number": "813-949-4940",
            "fax_number": "813-949-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23520 STATE ROAD 54",
            "address_2": "SUITE 102",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335596753",
            "telephone_number": "813-949-4940",
            "fax_number": "813-949-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERA CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-949-4940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.