Chantell Riley

Primary specialty

Dental AssistantTaxonomy code 126800000X

Practice address

4049 Niagara St
Wayne, MI 48184-1961

Phone

(734) 657-2686

NPI assigned

Sep 26, 2022

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1447973334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4049 NIAGARA ST",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4049 NIAGARA ST",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841961",
            "telephone_number": "734-657-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "CHANTELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhema WLC Operating LLC (Manor of Wayne Skilled Nursing and Rehabilitation)
• Rhema WTLC Operating LLC (Manor of Wayne Continuing Care Center)
• Christopher Joseph Rhodes
• Heather E Rice, MD
• Linda J Riggs, CRNA
• Christopher Matthew Riley, BOA
• Janice Marie Riley, MSW, LMSW, CAADC
• Justin Ryan Roberts, RPH
• Deborah Robins
• Andre Robinson

• Dental Assistant in Wayne, MI
• Providers in Wayne, MI by specialty
• Dental Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.