Raynard Riley DDS

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

RAYNARD RILEY DDS

Practice address

475 Springfield Ave
Suit 210
Summit, NJ 07901

Phone

(908) 273-5656

Fax

(908) 273-5661

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Raynard Otis Riley, DDSNPI 1811390230

Title

Owner/President

Phone

(908) 273-5656

Specialties & licenses 1

Addresses

Other names 1

• Patient First Dentistry of Summit Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raynard Otis Riley, DDS

  • Dentist
  • Summit, NJ
  • NPI 1811390230
  NPD (past) Authorized official

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1043315302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 SPRINGFIELD AVE",
            "address_2": "SUIT 210",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "07901",
            "telephone_number": "908-273-5656",
            "fax_number": "908-273-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 SPRINGFIELD AVE",
            "address_2": "SUIT 210",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "07901",
            "telephone_number": "908-273-5656",
            "fax_number": "908-273-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYNARD RILEY DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "RAYNARD",
        "authorized_official_middle_name": "OTIS",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "908-273-5656",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patient First Dentistry of Summit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ericka Carmen Ramsey
• Victoria Elana Rand, M.D.
• Noel Raskin, M.D.
• Jill S. Rathyen, M.D.
• Claudette Rawlins
• Peter Reavey, PHD
• Gale Reed
• Michelle Reeves, PMHNP-BC, DNP
• Rehab Universe, LLC
• Sarah Reifinger, MSN, APRN, FNP-BC

• Dentist in Summit, NJ
• Providers in Summit, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.