Clifford Allen Revoredo
NPI 1962259879 · Student in an Organized Health Care Education/Training Program · Shreveport, LA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Clifford Allen Revoredo is a Student in an Organized Health Care Education/Training Program provider in Shreveport, LA (NPI 1962259879).
Provider details
- NPI number
- 1962259879
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- 2024-04-30
- Last updated
- 2024-04-30
- Certified
- 2024-04-30
Frequently asked questions
- What is Clifford Allen Revoredo's NPI number?
- Clifford Allen Revoredo's National Provider Identifier (NPI) is 1962259879, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Clifford Allen Revoredo's specialty?
- Clifford Allen Revoredo is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Clifford Allen Revoredo located?
- Clifford Allen Revoredo's practice location on file with NPPES is 1501 Kings Hwy, Shreveport, LA 71103-4228.
- What is Clifford Allen Revoredo's phone number?
- The practice phone number listed in the NPPES registry for Clifford Allen Revoredo is (318) 626-0555.
- Does Clifford Allen Revoredo accept Medicare?
- Clifford Allen Revoredo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Clifford Allen Revoredo's NPI active?
- Yes — Clifford Allen Revoredo's NPI (1962259879) is active in the NPPES registry as of the last update on 2024-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.