DR. JAIME RIVERA D.M.D NPI 1124059472

NPI Information

  • NPI: 1124059472
  • Provider Name: DR. JAIME RIVERA, D.M.D
  • Classification: Dentist - 1223X0400X
  • Specialization: Orthodontics and Dentofacial Orthopedics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7482 PASEO DEL NORTE
    EL PASO, TX
    ZIP 79911
  • Phone: (915) 585-7550

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NPI Details

DR. Jaime Rivera, D.M.D is an orthodontics and dentofacial orthopedics dentist in El Paso, TX. The provider is that area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. DR. Jaime Rivera, D.M.D NPI is 1124059472. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7482 PASEO DEL NORTE
EL PASO, TX
ZIP 79911-200
Phone: (915) 585-7550
Fax: (915) 585-7552

The NPI 1124059472 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/5/2006 and was last updated on 3/20/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice22009TEXASNo
21223X0400XDentistOrthodontics and Dentofacial Orthopedics22009TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1213495902MEDICAIDTEXAS
200142477OTHERTEXASDPS
3DD3905OTHERNEW MEXICONEW MEXICO DENTAL LICENSE
422009OTHERTEXASTEXAS LICENSE DENTIST
5213495901MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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