Individual provider Active NPI

Paula Rivera, D.C., LMT

  • Chiropractor
  • Beaverton, OR
National Provider Identifier
1679027098
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5768 Issued in OR
Practice address
8196 SW Hall Blvd Ste 106
Beaverton, OR 97008-4676
Phone
(971) 354-6916
Fax
(971) 228-5438
NPI assigned
Aug 15, 2016
Last updated
May 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5768 OR Primary
Massage Therapist 225700000X 22330 OR

Addresses

Primary practice location

8196 SW Hall Blvd Ste 106
Beaverton, OR 97008-4676

Mailing address

4330 SW 188TH Ave
Beaverton, OR 97078-1517
Phone (503) 200-8331

Other practice location 1

4330 SW 188th Ave
Beaverton, OR 97078-1517
Phone (503) 200-8331

Other practice location 2

12325 SW Horizon Blvd Ste 223
Beaverton, OR 97007-9474
Phone (503) 200-8331

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
22330ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chirobiz LLC Chiropractor PastSince Aug 15, 2016 Accepting new patients

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": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1679027098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 SW 188TH AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970781517",
            "telephone_number": "503-200-8331",
            "fax_number": "971-228-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8196 SW HALL BLVD STE 106",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970084676",
            "telephone_number": "971-354-6916",
            "fax_number": "971-228-5438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4330 SW 188th Ave",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970781517",
            "country_code": "US",
            "telephone_number": "503-200-8331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12325 SW Horizon Blvd Ste 223",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970079474",
            "country_code": "US",
            "telephone_number": "503-200-8331",
            "fax_number": "503-747-7534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "PAULA",
        "name_prefix": "Dr.",
        "credential": "D.C., LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5768",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "22330",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.