Individual provider Active NPI

Daniela Arias Riley, D.M.D

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1366821266
Registry record updated Jan 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10310 Issued in NC
Practice address
9739 Northlake Centre Pkwy Ste a
Charlotte, NC 28216-6401
Phone
(704) 921-4404
Fax
(704) 921-4405
NPI assigned
May 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10310 NC Primary

Addresses

Primary practice location

9739 Northlake Centre Pkwy Ste a
Charlotte, NC 28216-6401

Mailing address

9739 Northlake Centre Pkwy Ste a
Charlotte, NC 28216-6401
Phone (704) 921-4404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20160801000690 NC Order and Referring Only - DentistPractitioner - Dentist 1658664461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10310NCMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737849600000",
    "number": "1366821266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9739 NORTHLAKE CENTRE PKWY STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282166401",
            "telephone_number": "704-921-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9739 NORTHLAKE CENTRE PKWY STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282166401",
            "telephone_number": "704-921-4404",
            "fax_number": "704-921-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "DANIELA",
        "middle_name": "ARIAS",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2025-01-26",
        "certification_date": "2025-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.