Ivan David Nieves, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 10065 Issued in FL

Practice address

3973 Lone Eagle PL
Sanford, FL 32771-5807

Phone

(321) 297-5885

NPI assigned

Aug 25, 2010

Last updated

May 13, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1275849424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3973 LONE EAGLE PL",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327715807",
            "telephone_number": "321-297-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3973 LONE EAGLE PL",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327715807",
            "telephone_number": "321-297-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES",
        "first_name": "IVAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-25",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "535",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8568",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tuan NMN Nguyenduy, M.D.
• Nic 5 Renaissance Retirement Leasing LLC (Renaissance Retirement Center)
• Monica Nicola, DDS
• Nicole Niego
• Christine Elizabeth Nieva, RN
• Wilfredo Nieves, APRN
• Ileana Niles, MD
• No Limit Health and Education (No Limit Counseling and Education)
• No Limit Health and Fitness Inc (No Limit Health and Education)
• Clarivi Noblejas

• Chiropractor in Sanford, FL
• Providers in Sanford, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.