Organization Active NPI

Rivera Family Chiropractic Center Deltona LLC

  • Chiropractor
  • Deltona, FL
National Provider Identifier
1376847806
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7903 Issued in FL
Legal business name
RIVERA FAMILY CHIROPRACTIC CENTER DELTONA LLC
Practice address
821 Debary Ave
Deltona, FL 32725-8805
Phone
(386) 860-5448
Fax
(386) 668-3665
NPI assigned
Dec 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Authorized official

Name
Alicia A Rivera, DCNPI 1699822445
Title
Owner/Doctor
Phone
(386) 860-5448

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH7903 FL Primary

Addresses

Primary practice location

821 Debary Ave
Deltona, FL 32725-8805

Mailing address

821 Debary Ave
Deltona, FL 32725-8805
Phone (386) 860-5448

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240729002176 FL Part B Supplier - Clinic/Group Practice 0446796296 Receives reassigned benefits from 1 practitioner
Practice locations: Deltona, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1293062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1376847806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 DEBARY AVE",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327258805",
            "telephone_number": "386-860-5448",
            "fax_number": "386-668-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 DEBARY AVE",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327258805",
            "telephone_number": "386-860-5448",
            "fax_number": "386-668-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERA FAMILY CHIROPRACTIC CENTER DELTONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-23",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "386-860-5448",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deltona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.