Individual provider Active NPI

Elizabeth Virginia Rivera-Melo, DC

  • Chiropractor
  • Cicero, IL
National Provider Identifier
1780207076
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.013557 Issued in IL
Practice address
5610A W Cermak Rd
Cicero, IL 60804-2219
Phone
(331) 223-4493
Fax
(708) 652-9050
NPI assigned
May 21, 2020
Last updated
Jan 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.013557 IL Primary

Addresses

Primary practice location

5610A W Cermak Rd
Cicero, IL 60804-2219

Mailing address

5610A W Cermak Rd
Cicero, IL 60804-2219
Phone (331) 223-4493

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
038.013557ILMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1780207076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610A W CERMAK RD",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042219",
            "telephone_number": "331-223-4493",
            "fax_number": "708-652-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610A W CERMAK RD",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042219",
            "telephone_number": "331-223-4493",
            "fax_number": "708-652-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-MELO",
        "first_name": "ELIZABETH",
        "middle_name": "VIRGINIA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cicero, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.