Ryan Lee Riley, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

08473 Issued in IA

Practice address

1111 9TH St
Ste 190
Des Moines, IA 50314-2527

Phone

(515) 244-9136

Fax

(515) 244-9153

NPI assigned

Jul 24, 2007

Sex

Male

Sole proprietor

No

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 IA

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

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1568662906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 WATSON POWELL JR WAY",
            "address_2": "UNIT 515",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091713",
            "telephone_number": "515-707-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 9TH ST",
            "address_2": "STE 190",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142527",
            "telephone_number": "515-244-9136",
            "fax_number": "515-244-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "RYAN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Kathleen Riessen, M.D.
• Jared L Rietveld, DO
• Jenn Riggs
• Bradley J Riley, MD
• Gabriella Vivian Riley
• Francisco Javier Rincon Boscan, MD
• Andrea Rindfleisch, PHYSICAL THERAPIST
• Thomas William Rinehart, MD
• Diana Lynne Ringo, MT(ASCP)
• Zachary Rinke, MD

• 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 Mar 28, 2014; 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.