Active NPI
Paul C. Rivard DPM PC
- Foot & Ankle Surgery Podiatrist
- Knoxville, TN
National Provider Identifier
1194036178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- DPM295
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3351417 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Foot Surgery Podiatrist
- Morristown, TN
- NPI 1982661559
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.