Revivify Chiropractic Wellness Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

REVIVIFY CHIROPRACTIC WELLNESS CENTER

Practice address

3528 Adirondack Way Ste 120
Wilmington, NC 28403-0166

Phone

(910) 679-4079

NPI assigned

Jan 29, 2024

Organization subpart

No

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

Authorized official

Name

Amanda Carolina Cruz-Lamboy, DC

Title

Chiropractor/Owner

Phone

(787) 422-9213

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Louis J Buffalino, DC

  • Chiropractor
  • Wilmington, NC
  • NPI 1073629101
  NPD

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1992567424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3528 ADIRONDACK WAY STE 120",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284030166",
            "telephone_number": "910-679-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3528 ADIRONDACK WAY STE 120",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284030166",
            "telephone_number": "910-679-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVIFY CHIROPRACTIC WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "CRUZ-LAMBOY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "CAROLINA",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "787-422-9213",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Retina of Coastal Carolina, PLLC
• Jordyn Kaylee Reuter
• Revival Medical Group
• Revival Medical Weight Loss Clinic
• Revive Wellness Center
• Karen Rey, FNP-BC
• Kimberly Marie Rey, LCSWA
• Maria Antonia Reyes Tadeo, LMBT
• Holly Reyes, DO
• Morganne Leigh Reyes, FNP

• Clinic/Center in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.