Irving Norflin Riley, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

59129 Issued in CA

Practice address

301 Alamo Dr
Suite E
Vacaville, CA 95688-4246

Phone

(707) 447-0989

Fax

(707) 447-6829

NPI assigned

Sep 12, 2005

Last updated

Jan 13, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mahr Elder DDS MD P C

  • Oral and Maxillofacial Surgery (Dentist)
  • Novato, CA
  • NPI 1215128988
  NPD
• M Elder D D S a Professional Corporation

  • Oral and Maxillofacial Surgery (Dentist)
  • Pinole, CA
  • NPI 1760633341
  NPD (past)
• Clayman & Riley PC

  dba OMS Consultants

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Southfield, MI
  • NPI 1083819601
  NPD (past)

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1215922760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ALAMO DR",
            "address_2": "SUITE E",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884246",
            "telephone_number": "707-447-0989",
            "fax_number": "707-447-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ALAMO DR",
            "address_2": "SUITE E",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884246",
            "telephone_number": "707-447-0989",
            "fax_number": "707-447-6829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "IRVING",
        "middle_name": "NORFLIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "015422",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "59129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103322661",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Smith Richards, NP
• Azibo Sali Richardson Sr.
• Charlotte Renee Richardson, LCSW
• Dana S Richardson, D.C.
• Michael L Richardson Jr., M.D.
• Mark Thomas Riley, PHARM.D.
• Monserrat Rivas
• Layla-Marie Neis Roberts
• Taylor Rae Roberts
• Tony Roberts, MA PSYCHOLOGY

• Oral and Maxillofacial Surgery (Dentist) in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.