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RIVA AESTHETIC DERMATOLOGY, PLLC
NPI 1285999490
Specialist in Cornelius, NC

Active since July 13, 2012
17039 KENTON DR, SUITE 100, CORNELIUS, NC 28031(704) 607-1518 Get Directions Write a Review

NPPES record last updated: July 13, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Riva Aesthetic Dermatology, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVA AESTHETIC DERMATOLOGY, PLLC (NPI 1285999490) is a healthcare organization registered as a specialist in Cornelius, North Carolina and active in the NPI registry since July 2012. The organization lists Kerry Mark Shafran, Managing Physician, as its authorized official.

NPPES Registry Identity

NPI1285999490
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameRIVA AESTHETIC DERMATOLOGY, PLLC
Location Address17039 KENTON DR, SUITE 100Cornelius, NC 28031-5775
Mailing Address17039 Kenton Dr, Suite 100Cornelius, NC 28031-5775
Phone(704) 607-1518
Organization SubpartNo
Authorized OfficialKerry Mark ShafranManaging Physician · (704) 607-1518
Enumeration DateJuly 13, 2012
✔ NPI 1285999490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NC · 39997
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
17039 KENTON DR, Cornelius, NC 28031
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Other Identifiers 1

Medicare UPINE86282

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Riva Aesthetic Dermatology, PLLC's NPI number?

The NPI number for Riva Aesthetic Dermatology, PLLC is 1285999490. It was assigned to this organization in the NPPES registry on July 13, 2012.

Where is Riva Aesthetic Dermatology, PLLC located?

Riva Aesthetic Dermatology, PLLC is located at 17039 Kenton Dr Suite 100, Cornelius, NC 28031. The listed phone number is (704) 607-1518.

What is Riva Aesthetic Dermatology, PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Riva Aesthetic Dermatology, PLLC was last updated on July 13, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.