Kenneth Rivera, PHYSICIAN ASSISTANT
NPI 1780399501 · Physician Assistant · Cannon Afb, NM
Kenneth Rivera, PHYSICIAN ASSISTANT is a Physician Assistant provider in Cannon Afb, NM (NPI 1780399501).
Provider details
- NPI number
- 1780399501
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHYSICIAN ASSISTANT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-01-16
- Last updated
- 2024-03-08
- Certified
- 2024-03-08
Frequently asked questions
- What is Kenneth Rivera's NPI number?
- Kenneth Rivera's National Provider Identifier (NPI) is 1780399501, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Rivera's specialty?
- Kenneth Rivera is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kenneth Rivera located?
- Kenneth Rivera's practice location on file with NPPES is 104 W D. L. Ingram Ave, Cannon Afb, NM 88101.
- What is Kenneth Rivera's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Rivera is (575) 784-2778.
- Is Kenneth Rivera's NPI active?
- Yes — Kenneth Rivera's NPI (1780399501) is active in the NPPES registry as of the last update on 2024-03-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.