Organization Active NPI

Rivera Family Chiropractic Center Casselberry LLC

  • Chiropractor
  • Casselberry, FL
National Provider Identifier
1902587702
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RIVERA FAMILY CHIROPRACTIC CENTER CASSELBERRY LLC
Practice address
3950 S US Highway 17/92 Ste 1000
Casselberry, FL 32707-3289
Phone
(407) 767-4878
Fax
(407) 767-4880
NPI assigned
Jul 26, 2023
Last updated
Jul 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Authorized official

Name
Dr. Omar Rivera, D.C.NPI 1679693253
Title
Owner/ Doctor
Phone
(305) 498-3400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3950 S US Highway 17/92 Ste 1000
Casselberry, FL 32707-3289

Mailing address

900 W 25TH St
Sanford, FL 32771-4236
Phone (407) 878-5848

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1902587702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W 25TH ST",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327714236",
            "telephone_number": "407-878-5848",
            "fax_number": "407-878-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 S US HIGHWAY 17/92 STE 1000",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327073289",
            "telephone_number": "407-767-4878",
            "fax_number": "407-767-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERA FAMILY CHIROPRACTIC CENTER CASSELBERRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "OWNER/ DOCTOR",
        "authorized_official_telephone_number": "305-498-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.