Individual provider Active NPI

Virginia Ann Rivas-Castro, D.C.

  • Chiropractor
  • South St Paul, MN
National Provider Identifier
1649455338
Registry record updated Jan 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5070 Issued in MN
Practice address
1020 Marie Ave
South St Paul, MN 55075-1926
Phone
(715) 379-2587
NPI assigned
Jan 1, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2922 Upper 55TH St
Inver Grove Heights, MN 55076-1673
Phone (651) 455-5463

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080214000591 MN Practitioner - Chiropractic 2961585807 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Health 1St Chiropractic and Wellness Center, P.C. Chiropractor CurrentSince Oct 7, 2009 Accepting new patients

Locations

2922 Upper 55th St
Inver Grove Heights, MN 55076
Phone (651) 455-5463

1020 Marie Ave
South St Paul, MN 55075
Phone (651) 455-5463

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5070 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

1020 Marie Ave
South St Paul, MN 55075-1926

Mailing address

1020 Marie Ave
South St Paul, MN 55075-1926
Phone (715) 379-2587

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 1, 2008.

{
    "created_epoch": "1199145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199145600000",
    "number": "1649455338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 MARIE AVE",
            "city": "SOUTH ST PAUL",
            "state": "MN",
            "postal_code": "550751926",
            "telephone_number": "715-379-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 MARIE AVE",
            "city": "SOUTH ST PAUL",
            "state": "MN",
            "postal_code": "550751926",
            "telephone_number": "715-379-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAS-CASTRO",
        "first_name": "VIRGINIA",
        "middle_name": "ANN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-01",
        "last_updated": "2008-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South St Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2008; 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.