Jeffrey Colton Riley, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30101 Issued in TX

Practice address

12626 Woodforest Blvd Ste Z
Houston, TX 77015-3653

Phone

(832) 673-0999

Fax

(281) 657-2406

NPI assigned

Aug 27, 2014

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1386044311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 CAMBRIDGE ST APT 2401",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542041",
            "telephone_number": "832-671-3461",
            "fax_number": "281-657-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12626 WOODFOREST BLVD STE Z",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770153653",
            "telephone_number": "832-673-0999",
            "fax_number": "281-657-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "JEFFREY",
        "middle_name": "COLTON",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Ann Riley
• Cordelia Riley, PHYSICAL THERAPIST
• Derek Bernard Riley
• Eulogia T Riley, R.N.
• Jeannie Riley, D.C.
• Jerome Riley
• Leslie Ann Riley, M.S., LDCC-I
• Lizabeth Ellen Riley, MD
• Mary F Riley, DDS
• Mychal A Riley

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.