Individual provider Active NPI

Michael Paul Rivers, D.C.

  • Chiropractor
  • North Myrtle Beach, SC
National Provider Identifier
1356633036
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3485 Issued in SC
Practice address
702-5 6TH Avenue South
North Myrtle Beach, SC 29582
Phone
(843) 249-5433
Fax
(843) 280-6289
NPI assigned
May 12, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3485 SC Primary

Addresses

Primary practice location

702-5 6TH Avenue South
North Myrtle Beach, SC 29582

Mailing address

1361 Eagle Crest Dr
Myrtle Beach, SC 29579-7721
Phone (843) 337-6041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110916000103 SC Practitioner - Chiropractic 0345411617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Sweis Family Wellness LLCGroup PAC ID 1254595721, 3 clinicians

Practice addresses (Care Compare)

1259 38TH Ave N
Myrtle Beach, SC 29577-1313
Phone (843) 605-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3485SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sweis Family Wellness LLC Chiropractor CurrentSince Jan 2, 2024 Accepting new patients
JS-Bell Enterprises, LLC Chiropractor PastSince Jan 2, 2020 Accepting new patients

Locations

1259 38th Ave N
Myrtle Beach, SC 29577
Phone (843) 605-1600

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": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1356633036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 EAGLE CREST DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295797721",
            "telephone_number": "843-337-6041",
            "fax_number": "843-280-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702-5 6TH AVENUE SOUTH",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29582",
            "telephone_number": "843-249-5433",
            "fax_number": "843-280-6289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERS",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.