Individual provider Active NPI

Michael D Rivera Jr., DC

  • Chiropractor
  • Norfolk, NE
National Provider Identifier
1275294142
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2115 Issued in NE
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

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20221206003401 SC Practitioner - Chiropractic 2466843230 Reassigns benefits to 1 organization

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
Isabella LLCGroup PAC ID 0648184101, 2 clinicians

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

LicenseStateTypeSpecialty
4819SCMDProfessional Counselor
2115NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.