Coralis Delgado Rivera, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR009094 Issued in GA

Practice address

2810 Cobb LN SE
Smyrna, GA 30082-2003

Phone

(770) 436-5712

Fax

(770) 436-1215

NPI assigned

Dec 9, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kostas Chiropractic Clinics, PC

  • Chiropractor
  • Smyrna, GA
  • NPI 1538376371
  NPD (past)

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1831858679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 COBB LN SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300822003",
            "telephone_number": "770-436-5712",
            "fax_number": "770-436-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 COBB LN SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300822003",
            "telephone_number": "770-436-5712",
            "fax_number": "770-436-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO RIVERA",
        "first_name": "CORALIS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kcc2810@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "useOtherDescription": "other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "info@kostaschiropracticclinics.com",
            "address_1": "2810 Cobb Ln SE",
            "city": "Smyrna",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300822003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bryan J De Marco, M.D.
• Eric Deal, DO
• Jimal Romane Deas
• Nicole Shearon Decker
• Veronica D. Delaney, ARNP, FNP-C
• Delmar Gardens of Smyrna, LLC
• Delmar Gardens of Smyrna, LLC
• Lisa Delva, PHARM. D.
• Megha Delvadia
• Thomas John Demarco, MD

• Chiropractor in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.