Active NPI
Sirikul Ruth Thuniljinda-Rivera, D.C.
- Chiropractor
- Boardman, OH
National Provider Identifier
1821124702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3559
- Practice address
- 4495 Market St
Boardman, OH 44512-1569 - Phone
- (330) 782-3190
- Fax
- (330) 782-3195
- NPI assigned
- Feb 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3559 | OH | Primary |
Addresses
Primary practice location
4495 Market St
Boardman, OH 44512-1569
Mailing address
795 Squirrel Hill Dr
Boardman, OH 44512-5339
Phone (330) 559-1688
Other names 1
- Sirikul Ruth Rivera
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 |
|---|---|---|---|
| 3559 | OH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821124702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "795 SQUIRREL HILL DR",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445125339",
"telephone_number": "330-559-1688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4495 MARKET ST",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445121569",
"telephone_number": "330-782-3190",
"fax_number": "330-782-3195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THUNILJINDA-RIVERA",
"first_name": "SIRIKUL",
"middle_name": "RUTH",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "3559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SIRIKUL",
"last_name": "RIVERA",
"middle_name": "RUTH",
"credential": "D.C.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.