Active NPI
Clint Rivard, DMD
- Dentist
- Aurora, CO
National Provider Identifier
1831594712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN.00202385
- Practice address
- 3575 S. Chambers Rd.
Aurora, CO 80014 - Phone
- (720) 636-9818
- NPI assigned
- Nov 4, 2014
- Sex
- Male
- 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 | DEN.00202385 | CO | Primary |
Addresses
Primary practice location
3575 S. Chambers Rd.
Aurora, CO 80014
Mailing address
997 Burning Bush PT
Monument, CO 80132-8652
Phone (719) 357-2675
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00202385 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora South Dental Partners PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Aurora, CO
- NPI 1922439280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415059200000",
"number": "1831594712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "997 BURNING BUSH PT",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801328652",
"telephone_number": "719-357-2675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3575 S. CHAMBERS RD.",
"city": "AURORA",
"state": "CO",
"postal_code": "80014",
"telephone_number": "720-636-9818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVARD",
"first_name": "CLINT",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-11-04",
"last_updated": "2014-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "DEN.00202385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.