Shane Austin Rivera, GENRAL CONTRACTOR

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Practice address

6810 S Steele St
Centennial, CO 80122-1839

Phone

(172) 053-0412

NPI assigned

Jan 30, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Shane Austin Rivera Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1689380826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 S STEELE ST",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801221839",
            "telephone_number": "720-530-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 S STEELE ST",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801221839",
            "telephone_number": "172-053-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "SHANE",
        "middle_name": "AUSTIN",
        "credential": "GENRAL CONTRACTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANE",
            "last_name": "RIVERA",
            "middle_name": "AUSTIN",
            "credential": "SR REMODELING",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• River House Partners, PLLC
• Jacquelyn S Rivera
• Kristina Rivera
• Maria Sarra Rivera, AGACNP - BC
• Nathaniel Rivera, DDS
• Yull Hae Rivera, RDH
• Carolyn Sue Riviere, MASTERS MFT
• RLS Inc
• Jolie Roach, LPC CACII
• Yvette Roaf

• Home Modifications Contractor in Centennial, CO
• Providers in Centennial, CO by specialty
• Home Modifications Contractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.