Organization Active NPI

Lorri a. Riley, DPM PC

  • Podiatrist
  • Spearfish, SD
National Provider Identifier
1518193093
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
130 Issued in SD
Legal business name
LORRI A. RILEY, DPM PC
Practice address
1410 North Ave #1
Spearfish, SD 57783
Phone
(605) 722-3668
Fax
(480) 393-5577
NPI assigned
Jun 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Authorized official

Name
Lorri Riley, DPM
Title
Owner
Phone
(605) 722-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 130 SD Primary

Addresses

Primary practice location

1410 North Ave #1
Spearfish, SD 57783

Mailing address

927 E Colorado Blvd
Spearfish, SD 57783-2783
Phone (605) 722-3668

Other identifiers 1

IdentifierTypeStateIssuer
6800182MedicaidSD

National Provider Directory

National Provider Directory

Locations

927 E Colorado Blvd
Spearfish, SD 57783
Phone (605) 722-3668

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1518193093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 E COLORADO BLVD",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832783",
            "telephone_number": "605-722-3668",
            "fax_number": "480-393-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 NORTH AVE #1",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "57783",
            "telephone_number": "605-722-3668",
            "fax_number": "480-393-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORRI A. RILEY, DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "LORRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-722-3668",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "SD",
            "license": "130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6800182",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spearfish, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.