Individual provider Active NPI

Riely Tomor, DMD

  • Dentist
  • Clearwater, FL
National Provider Identifier
1023846771
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
29438 Issued in FL
Practice address
2535 Landmark Dr Ste 104
Clearwater, FL 33761-3930
Phone
(727) 791-1450
NPI assigned
Jul 24, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 29438 FL Primary

Addresses

Primary practice location

2535 Landmark Dr Ste 104
Clearwater, FL 33761-3930

Mailing address

207 Bough Ave
Clearwater, FL 33760-1574
Phone (330) 906-3634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
29438FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Earl P Santos DMD PA CurrentSince Jul 28, 2024 Accepting new patients

Locations

2535 Landmark Dr
Ste 104
Clearwater, FL 33761
Phone (727) 791-1450

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1023846771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 BOUGH AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337601574",
            "telephone_number": "330-906-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 LANDMARK DR STE 104",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613930",
            "telephone_number": "727-791-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMOR",
        "first_name": "RIELY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "29438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.