Jaime Rivera, D.M.D

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

22009 Issued in TX

Practice address

7482 Paseo del Norte
El Paso, TX 79911-3200

Phone

(915) 585-7550

Fax

(915) 585-7552

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rivera Orthodontics and Associates, PLLC.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • El Paso, TX
  • NPI 1902334535
  NPD Authorized official
• Jaime Rivera Orthodontics, P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • El Paso, TX
  • NPI 1730594896
  NPD (past) Authorized official

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1124059472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7482 PASEO DEL NORTE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799113200",
            "telephone_number": "915-585-7550",
            "fax_number": "915-585-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7482 PASEO DEL NORTE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799113200",
            "telephone_number": "915-585-7550",
            "fax_number": "915-585-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JAIME",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22009",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "22009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213495902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "00142477",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO DENTAL LICENSE",
            "identifier": "DD3905",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE DENTIST",
            "identifier": "22009",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213495901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emmanuel Rivera, M.D.
• Erica Estella Rivera, LPC
• Gabriela Rivera, LVN
• Itzel Rivera
• Jade Marie Rivera
• Jesus Manuel Rivera Jr., RDN, LD
• Jonathan Rivera
• Jose Orlando Rivera, PHARMD
• Joshua Abraham Rivera, LMT
• Manuel Rivera, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in El Paso, TX
• Providers in El Paso, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.