Riina Elsey, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS038217 Issued in PA

Practice address

100 E Lehigh Ave
Pediatric Dentistry Residency Program
Philadelphia, PA 19125-1012

Phone

(215) 707-1020

Fax

(215) 707-0083

NPI assigned

Apr 9, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Riina Lobanov Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Sepa Dental LLC

  • Pediatric Dentistry
  • West Chester, PA
  • NPI 1811643703
  NPD Authorized official

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1083857783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 MILES RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193801950",
            "telephone_number": "609-792-3237",
            "fax_number": "609-792-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LEHIGH AVE",
            "address_2": "PEDIATRIC DENTISTRY RESIDENCY PROGRAM",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191251012",
            "telephone_number": "215-707-1020",
            "fax_number": "215-707-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSEY",
        "first_name": "RIINA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-09",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DL10076",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS038217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RIINA",
            "last_name": "LOBANOV",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Galal E Elsaim, MA
• Abdel Rahman Hussein Elsanadedy
• Arig Mohamed Elsayed, PHARMD
• Nour Elsayed
• Holly Constance Elser, MD, PHD
• Abdelsalam Elshaikh, MD
• Summer Elshenawy, MD
• Keith Stacy Elsner, PA-C
• Eman E Eltay
• Timothy Elton, MD

• Pediatric Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.