Tim Rieke DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

013681 Issued in MO

Legal business name

TIM RIEKE DDS LLC

Practice address

1312 Southwest Blvd
Jefferson City, MO 65109

Phone

(573) 634-3115

Fax

(573) 634-2381

NPI assigned

Dec 3, 2007

Organization subpart

Yes

Parent organization

TIM RIEKE DDS LLCAs reported in NPPES

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

Authorized official

Name

Dr. Tim J Rieke, DDSNPI 1457434722

Title

Member

Phone

(573) 634-3115

Specialties & licenses 1

Addresses

Part of

Tim Rieke DDS LLC

Practitioners 1

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

• Tim J Rieke, DDS

  • Dentist
  • Jefferson City, MO
  • NPI 1457434722
  NPD (past) Authorized official

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1295917110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 SOUTHWEST BLVD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "65109",
            "telephone_number": "573-634-3115",
            "fax_number": "573-634-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 SOUTHWEST BLVD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "65109",
            "telephone_number": "573-634-3115",
            "fax_number": "573-634-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM RIEKE DDS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TIM RIEKE DDS LLC",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "RIEKE",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "573-634-3115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "013681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyndsey Jo Thorne, FNP-BC
• Three Rivers Hospice, Inc.
• Ryan Matthew Thurman, PTA
• Emily Amber Tichich, CF-SLP
• Elbert Stinson Tillerson, MD
• Michelle Lynn Toalson, M.A., CCC-SLP
• Rachel Lynn Marie Todd, M.S., CCC-SLP
• Brigitta Tolnay, PHARMD
• Tolson Drug Company, Inc.
• Joseph N. Tomblinson, D.O.

• General Practice Dentistry in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.