DR. EDGAR DAVID RIVERA DC
NPI 1417785601
Chiropractor in South Daytona, FL
About Dr. Edgar David Rivera Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EDGAR DAVID RIVERA DC (NPI 1417785601) is an individual chiropractor in South Daytona, Florida, licensed in Florida (CH15078) and active in the NPI registry since July 2024. He is a graduate of Life Chiropractic College (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Edgar David Rivera Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Edgar Rivera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oviedo, FL 32765
- Reassigned Medicare billing, Florida enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Edgar Rivera's NPI number?
The NPI number for Edgar Rivera is 1417785601. It was assigned to this individual provider in the NPPES registry on July 22, 2024.
Where is Edgar Rivera located?
Edgar Rivera practices at 3230 S Ridgewood Ave Apt 1101, South Daytona, FL 32119. The listed phone number is (404) 660-5805.
What is Edgar Rivera's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Edgar Rivera enrolled in Medicare?
Yes. Edgar Rivera is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Edgar Rivera's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edgar Rivera reassigns Medicare benefits to Oviedo Chiropractic LLC (Oviedo, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edgar Rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Edgar Rivera was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Edgar David Rivera, DC · NPI 1417785601
Chiropractor provider in South Daytona, Florida. Individual provider, active in the CMS NPPES registry since July 22, 2024.
## Identity
- **NPI:** 1417785601 (Entity type: Individual)
- **Enumerated:** July 22, 2024
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** CH15078 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 3230 S RIDGEWOOD AVE APT 1101, South Daytona, FL 32119-3510
- **Phone:** (404) 660-5805
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Oviedo Chiropractic LLC (NPI 1700286697, Oviedo, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Life Chiropractic College, class of 2024
## Record status
- **NPPES last updated:** July 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1417785601) · Data from the CMS NPPES public registry.