Individual provider Active NPI

Carolyn Kenia Ross Riley, M.D.

  • Obstetrics & Gynecology Physician
  • Dallas, TX
National Provider Identifier
1184882276
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
46244 Issued in AZ
Practice address
12222 N Central Expy Ste 140
Dallas, TX 75243-3766
Phone
(469) 801-8480
Fax
(214) 575-8484
NPI assigned
May 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 46244 AZ Primary

Addresses

Primary practice location

12222 N Central Expy Ste 140
Dallas, TX 75243-3766

Mailing address

12222 N Central Expy Ste 140
Dallas, TX 75243-3766
Phone (469) 801-8480

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Oak Care Partners, LLM Current Accepting new patients
Cornerstonemd,PLLC Current Accepting new patients

Locations

12222 N Central Expy
Ste 140
Dallas, TX 75243
Phone (214) 890-1616

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBFBCD/Endpoint/IBFBCD

Organizations & group practices 2

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": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1184882276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12222 N CENTRAL EXPY STE 140",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433766",
            "telephone_number": "469-801-8480",
            "fax_number": "214-575-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12222 N CENTRAL EXPY STE 140",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433766",
            "telephone_number": "469-801-8480",
            "fax_number": "214-575-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "CAROLYN",
        "middle_name": "KENIA ROSS",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "46244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.