Individual provider Active NPI

Rochelle Jennifer Riley, DDS

  • Dentist
  • Tucson, AZ
National Provider Identifier
1598897100
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6976 Issued in AZ
Practice address
6596 N Oracle Rd
Tucson, AZ 85704-5615
Phone
(520) 297-9069
Fax
(520) 575-9600
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6976 AZ Primary

Addresses

Primary practice location

6596 N Oracle Rd
Tucson, AZ 85704-5615

Mailing address

6596 N Oracle Rd
Tucson, AZ 85704-5615
Phone (520) 297-9069

Other names 1

  • Dr. Rochelle Jennifer Light Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6976AZMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Az Dental Medicine LLC PastSince May 25, 2021 Accepting new patients
R&R Dental Medicine, P.L.L.C. Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1598897100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6596 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045615",
            "telephone_number": "520-297-9069",
            "fax_number": "520-575-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6596 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045615",
            "telephone_number": "520-297-9069",
            "fax_number": "520-575-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "ROCHELLE",
        "middle_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "6976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROCHELLE",
            "last_name": "LIGHT",
            "middle_name": "JENNIFER",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.