Thomas Patrick Riley, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

3580 Issued in SC

Practice address

310 N Gum St Ste B
Summerville, SC 29483-6874

Phone

(843) 437-6165

NPI assigned

Aug 13, 2006

Last updated

Mar 1, 2010By the provider in NPPES

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 SC

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Azalea Dental LLC

  • General Practice Dentistry
  • Summerville, SC
  • NPI 1568678407
  Authorized official Same address or phone

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267401600000",
    "number": "1457363715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N GUM ST STE B",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836874",
            "telephone_number": "843-437-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N GUM ST STE B",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836874",
            "telephone_number": "843-437-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "THOMAS",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2010-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "3580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chikako Okumura Riester
• Jessica Rau Riley, DMD
• Jillian Catherine Riley, NP
• Ryan Patrick Riley, DDS
• Sarah Madeline Lori Riley, LPC-A
• Nadia Lorae Rindfuss
• Brittani Ringley, CPSS, SAS
• Rise Above Physical Therapy LLC
• River Landing Dentistry at Nexton LLC
• River Landing Dentistry West Summerville LLC

• Dentist in Summerville, SC
• Providers in Summerville, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.