Individual provider Active NPI

David Rivera

  • Chiropractor
  • Hartford, CT
National Provider Identifier
1568927259
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
002123 Issued in CT
Practice address
239 Campfield Ave
Hartford, CT 06114-2412
Phone
(787) 238-4547
NPI assigned
Feb 6, 2019
Last updated
Feb 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1050NHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pelham Family Chiropractic, LLC Chiropractor Current Accepting new patients
Mattheson and Blackman Family Chiropractic and Physical Therapy Center Chiropractor CurrentSince Aug 26, 2019 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.

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.

Verify at the official NPI Registry.