Terry R Rieck DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7887 Issued in IA

Legal business name

TERRY R RIECK DDS PC

Practice address

4019 Ingersoll Ave
Des Moines, IA 50312-2710

Phone

(515) 255-1195

Fax

(515) 255-1195

NPI assigned

May 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Terry Rae Rieck, DDS

Title

President

Phone

(515) 255-1195

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1497912950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4019 INGERSOLL AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503122710",
            "telephone_number": "515-255-1195",
            "fax_number": "515-255-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4019 INGERSOLL AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503122710",
            "telephone_number": "515-255-1195",
            "fax_number": "515-255-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY R RIECK DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "RIECK",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-255-1195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "7887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Des Moines, IA
• Providers in Des Moines, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.