Matthew Douglas Riley, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9775 Issued in KY

Practice address

101 State Ave
Glasgow, KY 42141-1448

Phone

(270) 651-5939

NPI assigned

Jun 1, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1346698206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 STATE AVE",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421411448",
            "telephone_number": "270-651-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 STATE AVE",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421411448",
            "telephone_number": "270-651-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "MATTHEW",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "9775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Rickard, LPCC
• Haley Brooke Rider
• Jeffrey K Riggs, D.O.
• John Rigney, LPCC
• Riley Family Dentistry PLLC
• Rania Rizkalla
• Melissa Annette Roach, LPCA
• John Michael Robbins, PH.D., LMFT
• Robert F. Pelham, B.S.D.C.PSC
• Jonathan Michael Robertson, APRN

• General Practice Dentistry in Glasgow, KY
• Providers in Glasgow, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.