Active NPI
Michael D Rivera Jr., DC
- Chiropractor
- Norfolk, NE
National Provider Identifier
1275294142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2115
- Practice address
- 110 N 37TH St Ste 405
Norfolk, NE 68701-3283 - Phone
- (402) 371-0522
- Fax
- (402) 371-8212
- NPI assigned
- Jan 4, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2115 | NE | Primary |
Addresses
Primary practice location
110 N 37TH St Ste 405
Norfolk, NE 68701-3283
Mailing address
110 N 37TH St Ste 405
Norfolk, NE 68701-3283
Phone (402) 371-0522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1051 Johnnie Dodds Blvd
Mt Pleasant, SC 29464-3100
Phone (843) 884-8444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4819 | SC | MD | Professional Counselor |
| 2115 | NE | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abundant Life Chiropractic Center | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Mount Pleasant, SC
- NPI 1831283688
-
- Chiropractor
- Mt Pleasant, SC
- NPI 1528275146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641254400000",
"number": "1275294142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 N 37TH ST STE 405",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687013283",
"telephone_number": "402-371-0522",
"fax_number": "402-371-8212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N 37TH ST STE 405",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687013283",
"telephone_number": "402-371-0522",
"fax_number": "402-371-8212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "MICHAEL",
"middle_name": "D",
"name_suffix": "Jr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-04",
"last_updated": "2022-01-04",
"certification_date": "2022-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "2115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.