Organization Active NPI

Paul C. Rivard DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Knoxville, TN
National Provider Identifier
1194036178
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DPM295 Issued in TN
Legal business name
PAUL C. RIVARD DPM PC
Practice address
6311 Kingston Pike Ste 10W
Knoxville, TN 37919-4906
Phone
(865) 558-0006
Fax
(865) 558-9462
NPI assigned
Jun 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Authorized official

Name
Paul C Rivard, DPM
Title
President
Phone
(865) 558-0006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X DPM295 TN Primary

Addresses

Primary practice location

6311 Kingston Pike Ste 10W
Knoxville, TN 37919-4906

Mailing address

6311 Kingston Pike Ste 10W
Knoxville, TN 37919-4906
Phone (865) 558-0006

Other identifiers 1

IdentifierTypeStateIssuer
3351417MedicaidTN

National Provider Directory

National Provider Directory

Locations

6311 Kingston Pike
Ste 10W
Knoxville, TN 37919
Phone (865) 558-0006

6311 Kingston Pike
Ste 10
Knoxville, TN 37919
Phone (865) 558-0006

6312 Kingston Pike
Knoxville, TN 37919
Phone (865) 558-0006

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1194036178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 KINGSTON PIKE STE 10W",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194906",
            "telephone_number": "865-558-0006",
            "fax_number": "865-558-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 KINGSTON PIKE STE 10W",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194906",
            "telephone_number": "865-558-0006",
            "fax_number": "865-558-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL C. RIVARD DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-24",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "RIVARD",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-558-0006",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "DPM295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3351417",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.