Justin Derryck Riel, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28670 Issued in TX

Practice address

2323 Clear Lake City Blvd
Suite 140
Houston, TX 77062-8120

Phone

(823) 545-2909

NPI assigned

Apr 4, 2013

Sex

Male

Sole proprietor

Yes

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 TX

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": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1447593793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 CLEAR LAKE CITY BLVD",
            "address_2": "SUITE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770628120",
            "telephone_number": "281-488-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 CLEAR LAKE CITY BLVD",
            "address_2": "SUITE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770628120",
            "telephone_number": "823-545-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEL",
        "first_name": "JUSTIN",
        "middle_name": "DERRYCK",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-04",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William David Rieger, MD
• Autumn Rieken, DO
• Riel Dental PC
• Riel Just Smile Inc
• Carmelita Uy Riel
• Gregorio R Riera, M.D.
• Nicole Riese, OD
• Monika Rigamonti
• Melissa Anne Rigas, CRNA
• Hope Rigby-Wills, M.ED.

• 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 Jul 8, 2014; 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.