Organization Active NPI

Archangel Clinic of Chiropractic

  • Chiropractor
  • McAllen, TX
National Provider Identifier
1689874828
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9950 Issued in TX
Legal business name
ARCHANGEL CLINIC OF CHIROPRACTIC
Practice address
2215 W Fern Ave Ste B
McAllen, TX 78501-6177
Phone
(956) 292-6557
Fax
(956) 686-8069
NPI assigned
Jul 24, 2007
Last updated
Jan 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Authorized official

Name
Dr. Reynol Baldermar Rivera, DCNPI 1538284658
Title
Owner
Phone
(956) 292-6557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 9950 TX Primary

Addresses

Primary practice location

2215 W Fern Ave Ste B
McAllen, TX 78501-6177

Mailing address

2215 W Fern Ave Ste B
McAllen, TX 78501-6177
Phone (956) 292-6557

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1689874828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 W FERN AVE STE B",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785016177",
            "telephone_number": "956-292-6557",
            "fax_number": "956-868-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 W FERN AVE STE B",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785016177",
            "telephone_number": "956-292-6557",
            "fax_number": "956-686-8069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHANGEL CLINIC OF CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "REYNOL",
        "authorized_official_middle_name": "BALDERMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-292-6557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.