Healthcare Provider Details

I. General information

NPI: 1093670044
Provider Name (Legal Business Name): SARAH RIVAS DC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2025
Last Update Date: 12/22/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6804 S CANTON AVE STE 100
TULSA OK
74136-3411
US

IV. Provider business mailing address

6804 S CANTON AVE STE 100
TULSA OK
74136-3411
US

V. Phone/Fax

Practice location:
  • Phone: 918-764-8606
  • Fax:
Mailing address:
  • Phone: 918-764-8606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. SARAH ELIZABETH RIVAS
Title or Position: DOCTOR
Credential: DC
Phone: 619-540-2757