Active NPI
Terry R Riley, DDS
- General Practice Dentistry
- Albany, KY
National Provider Identifier
1154337509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5569
- Practice address
- 105 Foothills Avenue
Albany, KY 42602 - Phone
- (606) 387-8372
- Fax
- (606) 387-9352
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5569 | KY | Primary |
Addresses
Primary practice location
105 Foothills Avenue
Albany, KY 42602
Mailing address
105 Foothills Avenue
Albany, KY 42602
Phone (606) 387-8372
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60055696 | Medicaid | KY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205971200000",
"number": "1154337509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 FOOTHILLS AVENUE",
"city": "ALBANY",
"state": "KY",
"postal_code": "42602",
"telephone_number": "606-387-8372",
"fax_number": "606-387-9352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 FOOTHILLS AVENUE",
"city": "ALBANY",
"state": "KY",
"postal_code": "42602",
"telephone_number": "606-387-8372",
"fax_number": "606-387-9352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "TERRY",
"middle_name": "R",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2008-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "5569",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60055696",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albany, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.