Active NPI
Rachel Foster Rivard, D.D.S.
- Dentist
- Rutland, VT
National Provider Identifier
1073996542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D13583
- Practice address
- 69 Allen St Ste 10
Rutland, VT 05701-4564 - Phone
- (802) 774-5050
- NPI assigned
- Jul 2, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D13583 | MN | Primary |
Addresses
Primary practice location
69 Allen St Ste 10
Rutland, VT 05701-4564
Mailing address
5217 16TH Ave S
Minneapolis, MN 55417-1813
Phone (847) 910-2314
Other practice location 1
409 Dunlap St N
Saint Paul, MN 55104-4201
Phone (651) 290-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D13583 | MN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561507200000",
"number": "1073996542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5217 16TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554171813",
"telephone_number": "847-910-2314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 ALLEN ST STE 10",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057014564",
"telephone_number": "802-774-5050"
}
],
"practiceLocations": [
{
"address_1": "409 Dunlap St N",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551044201",
"country_code": "US",
"telephone_number": "651-290-9200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVARD",
"first_name": "RACHEL",
"middle_name": "FOSTER",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-02",
"last_updated": "2019-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D13583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rutland, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.