Edgar David Rivera, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH15078 Issued in FL

Practice address

3230 S Ridgewood Ave Apt 1101
South Daytona, FL 32119-3510

Phone

(404) 660-5805

NPI assigned

Jul 22, 2024

Last updated

Jul 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oviedo Chiropractic LLCGroup PAC ID 6002037678, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oviedo Chiropractic LLC

  • Chiropractor
  • Oviedo, FL
  • NPI 1700286697
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1417785601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 S RIDGEWOOD AVE APT 1101",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321193510",
            "telephone_number": "404-660-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 S RIDGEWOOD AVE APT 1101",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321193510",
            "telephone_number": "404-660-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "EDGAR",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH15078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Ann Reed, PTA
• Adam Michael Rees
• Regina Asihene MD LLC
• Timothy Remmert
• Christian Gabriel Rivera, D.C.
• Rizalina Leuterio MD P a
• Etta June Rockwell
• Angela Michelle Ross, C.N.A
• Fernander Ross Jr., CNA
• Oliver Ross

• Chiropractor in South Daytona, FL
• Providers in South Daytona, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.