Active NPI
David Rivera
- Chiropractor
- Hartford, CT
National Provider Identifier
1568927259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 002123
- Practice address
- 239 Campfield Ave
Hartford, CT 06114-2412 - Phone
- (787) 238-4547
- NPI assigned
- Feb 6, 2019
- Last updated
- Feb 6, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 002123 | CT | Primary |
Addresses
Primary practice location
239 Campfield Ave
Hartford, CT 06114-2412
Mailing address
239 Campfield Ave
Hartford, CT 06114-2412
Phone (787) 238-4547
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1050 | NH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pelham Family Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
| Mattheson and Blackman Family Chiropractic and Physical Therapy Center | Chiropractor | Current | Accepting new patients |
Locations
812 Central Ave
Dover, NH 03820
Phone (603) 742-5881
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Dover, NH
- NPI 1558677336
-
- Chiropractor
- Pelham, NH
- NPI 1093312423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549411200000",
"number": "1568927259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 CAMPFIELD AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061142412",
"telephone_number": "787-238-4547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 CAMPFIELD AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061142412",
"telephone_number": "787-238-4547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-06",
"last_updated": "2019-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "002123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.