Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Riva Aesthetic Dermatology, PLLC

Organization Specialist · NPI 1285999490

Riva Aesthetic Dermatology, PLLC is a Specialist in Cornelius, North Carolina. Licensed in North Carolina. Registered with an NPI since 2012.

Licensed in
NC
In the registry since
2012
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17039 Kenton Dr Ste 100
Cornelius, NC 28031-5775
Phone: (704) 607-1518
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 39997 (NC)

Record details

NPI number1285999490
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kerry Shafran — Managing Physician · (704) 607-1518
NPI enumeratedJuly 13, 2012
Last updated in NPPESJuly 13, 2012
Mailing address17039 Kenton Dr, Suite 100, Cornelius, NC 28031-5775

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