Riley & Han Dental Associates, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN19965 Issued in MA

Legal business name

RILEY & HAN DENTAL ASSOCIATES, LLC

Practice address

10 Hawthorne PL
Suite 102
Boston, MA 02114-2336

Phone

(617) 723-4032

Fax

(617) 723-4059

NPI assigned

May 4, 2012

Organization subpart

No

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

Authorized official

Name

Nancy A. King-Burke

Title

Office Manager

Phone

(617) 723-4032

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edwin J Riley IV, DMD

  • General Practice Dentistry
  • Boston, MA
  • NPI 1235213752
  NPD (past)
• Edwin J Riley III, DMD

  • Prosthodontics
  • Boston, MA
  • NPI 1730101767
  NPD (past)

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1558620997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HAWTHORNE PL",
            "address_2": "SUITE 102",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142336",
            "telephone_number": "617-723-4032",
            "fax_number": "617-723-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HAWTHORNE PL",
            "address_2": "SUITE 102",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142336",
            "telephone_number": "617-723-4032",
            "fax_number": "617-723-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RILEY & HAN DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-04",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "KING-BURKE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "617-723-4032"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DN12185",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DN19965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST PRACTIONER NPI TYPE 1",
            "identifier": "1043475056",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST TRACTIONER NPI TYPE 1",
            "identifier": "1730101767",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST PRACTIONER NPI TYPE 1",
            "identifier": "1235213752",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Rigney
• Nancy Ann Rigotti, MD
• Devyn Christine Rigsby, MD, MBE
• Jessica Rihm, PT, DPT
• Douglas Nielsen Riis, DMD
• Bobbie Lynn Riley, M.D.
• Celeste Riley
• Claudine Riley, LICSW
• Edwin J Riley IV, DMD
• Edwin J Riley III, DMD

• Dental Clinic/Center in Boston, MA
• Providers in Boston, MA by specialty
• Dental Clinic/Center in Massachusetts

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