Individual provider Active NPI

Riley Chase Reyes, DMD

  • Dentist
  • Cedar Springs, MI
National Provider Identifier
1316787963
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901602174 Issued in MI
Practice address
20 E Church St
Cedar Springs, MI 49319-7505
Phone
(616) 696-9420
Fax
(616) 696-8272
NPI assigned
May 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901602174 MI Primary

Addresses

Primary practice location

20 E Church St
Cedar Springs, MI 49319-7505

Mailing address

20 E Church St
Cedar Springs, MI 49319-7505
Phone (616) 696-9420

Other practice location 1

1510 N Broadway St
Hastings, MI 49058-3024
Phone (269) 945-3358

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

State licenses

LicenseStateTypeSpecialty
2901602174MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Springs Dental PLLC CurrentSince Jun 2, 2024 Accepting new patients

Locations

20 E Church St
Cedar Springs, MI 49319
Phone (616) 696-9420

Organizations & group practices 1

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": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1316787963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E CHURCH ST",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493197505",
            "telephone_number": "616-696-9420",
            "fax_number": "616-696-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E CHURCH ST",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493197505",
            "telephone_number": "616-696-9420",
            "fax_number": "616-696-8272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1510 N Broadway St",
            "address_purpose": "LOCATION",
            "city": "Hastings",
            "state": "MI",
            "postal_code": "490583024",
            "country_code": "US",
            "telephone_number": "269-945-3358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "RILEY",
        "middle_name": "CHASE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901602174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Springs, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.