Individual provider Active NPI

Angel Rivas, DC

  • Chiropractor
  • Lewisville, TX
National Provider Identifier
1851937510
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14256 Issued in TX
Practice address
571 W Main St Ste 100
Lewisville, TX 75057-3667
Phone
(972) 436-9785
Fax
(972) 436-6068
NPI assigned
Nov 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14256 TX Primary

Addresses

Primary practice location

571 W Main St Ste 100
Lewisville, TX 75057-3667

Mailing address

571 W Main St Ste 100
Lewisville, TX 75057-3667
Phone (972) 436-9785

Other practice location 1

320 Regal Row Ste 100
Dallas, TX 75247-5213
Phone (972) 557-7000

Other practice location 2

8 Medical Pkwy Ste 208
Dallas, TX 75234-7842
Phone (972) 701-8181

Other identifiers 1

IdentifierTypeStateIssuer
14256OtherTXTX LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@backbodyclinic.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200817003644 TX Practitioner - Chiropractic 4183040454 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14256TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
BBC Healthcare Group, PLLC CurrentSince Jun 1, 2020 Accepting new patients
Juan Luis Zamora, M.D., P.a. CurrentSince Jul 24, 2022 Accepting new patients

Locations

8 Medical Pkwy
Ste 208
Farmers Brnch, TX 75234
Phone (972) 247-5466

571 W Main St
Ste 100
Lewisville, TX 75057
Phone (972) 436-9785

Organizations & group practices 2

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": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1851937510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 W MAIN ST STE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573667",
            "telephone_number": "972-436-9785",
            "fax_number": "972-436-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 W MAIN ST STE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573667",
            "telephone_number": "972-436-9785",
            "fax_number": "972-436-6068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Regal Row Ste 100",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752475213",
            "country_code": "US",
            "telephone_number": "972-557-7000",
            "fax_number": "972-557-7001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 Medical Pkwy Ste 208",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752347842",
            "country_code": "US",
            "telephone_number": "972-701-8181",
            "fax_number": "972-701-8182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVAS",
        "first_name": "ANGEL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-18",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LICENSE",
            "identifier": "14256",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@backbodyclinic.com",
            "affiliation": "N",
            "address_1": "571 W Main St Ste 100",
            "city": "Lewisville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750573667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.