Individual provider Active NPI

Scott Gerard Reviere Jr., DC

  • Chiropractor
  • Austin, TX
National Provider Identifier
1265396063
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16713 Issued in TX
Practice address
4308 N Quinlan Park Rd Ste 202
Austin, TX 78732-6071
Phone
(512) 329-5500
NPI assigned
Dec 15, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16713 TX Primary

Addresses

Primary practice location

4308 N Quinlan Park Rd Ste 202
Austin, TX 78732-6071

Mailing address

4308 N Quinlan Park Rd Ste 202
Austin, TX 78732-6071
Phone (512) 329-5500

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16713TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1265396063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 N QUINLAN PARK RD STE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787326071",
            "telephone_number": "512-329-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 N QUINLAN PARK RD STE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787326071",
            "telephone_number": "512-329-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVIERE",
        "first_name": "SCOTT",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "16713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.