Individual provider Active NPI

Alicia A Rivera, D.C.

  • Chiropractor
  • Deltona, FL
National Provider Identifier
1699822445
Registry record updated May 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7903 Issued in FL
Practice address
821 Debary Ave
Deltona, FL 32725-8805
Phone
(386) 860-5448
Fax
(386) 668-3665
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7903 FL Primary

Addresses

Primary practice location

821 Debary Ave
Deltona, FL 32725-8805

Mailing address

821 Debary Ave
Deltona, FL 32725-8805
Phone (386) 860-5448

Other identifiers 3

IdentifierTypeStateIssuer
316158OtherFLCHIRO ALLIANCE CORP.
381780600MedicaidFL
6265773OtherFLCIGNA

Other names 1

  • Alicia A Cardoze Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050810000103 FL Practitioner - Chiropractic 7214965672 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Rivera Family Chiropractic Center LLCGroup PAC ID 6103088570, 2 clinicians

Practice addresses (Care Compare)

821 Debary Ave
Deltona, FL 32725-8805
Phone (386) 860-5448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rivera Family Chiropractic Center Deltona LLC Chiropractor CurrentSince Jun 19, 2006 Accepting new patients
Rivera Family Chiropractic Center LLC CurrentSince Apr 11, 2012 Accepting new patients
Mauricio Chiropractic North LLC Chiropractor Past Accepting new patients

Locations

821 Debary Ave
Deltona, FL 32725
Phone (386) 860-5448

900 W 25th St
Sanford, FL 32771
Phone (407) 322-4155

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336953600000",
    "number": "1699822445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 DEBARY AVE",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327258805",
            "telephone_number": "386-860-5448",
            "fax_number": "386-668-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 DEBARY AVE",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327258805",
            "telephone_number": "386-860-5448",
            "fax_number": "386-668-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ALICIA",
        "middle_name": "A",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2012-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIRO ALLIANCE CORP.",
            "identifier": "316158",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381780600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6265773",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "CARDOZE",
            "middle_name": "A",
            "credential": "DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Deltona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.