Individual provider Active NPI

Rodolfo Rivas Jr., D.C.

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1982748505
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0008850 Issued in CO
Practice address
405 Windchime PL
Colorado Springs, CO 80919-1984
Phone
(719) 598-6955
Fax
(719) 598-7157
NPI assigned
Feb 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10279 TX
Chiropractor 111N00000X CHR.0008850 CO Primary

Addresses

Primary practice location

405 Windchime PL
Colorado Springs, CO 80919-1984

Mailing address

405 Windchime PL
Colorado Springs, CO 80919-1984
Phone (719) 598-6955

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250708003100 CO Practitioner - Chiropractic 9032484985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

405 Windchime PL
Colorado Springs, CO 80919-1984
Phone (719) 598-6955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR.0008850COMDChiropractor
10279TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Rivas Chiropractic PLLC Chiropractor CurrentSince May 28, 2025 Accepting new patients

Locations

405 Windchime Pl
Colorado Springs, CO 80919
Phone (719) 533-0077

Organizations & group practices 1

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": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1982748505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 WINDCHIME PL",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191984",
            "telephone_number": "719-598-6955",
            "fax_number": "719-598-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 WINDCHIME PL",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191984",
            "telephone_number": "719-598-6955",
            "fax_number": "719-598-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAS",
        "first_name": "RODOLFO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10279",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0008850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.