Active NPI
Paula Rivera, D.C., LMT
- Chiropractor
- Beaverton, OR
National Provider Identifier
1679027098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5768
- 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, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 22330 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chirobiz LLC | Chiropractor | Past | 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.