Maryann Theresa Riordan, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

049484 Issued in NY

Practice address

2225 5TH Ave
Suite MG
New York, NY 10037-2101

Phone

(212) 368-6700

Fax

(212) 368-7183

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• MTR Dental Services PC

  • General Practice Dentistry
  • New York, NY
  • NPI 1669700670
  NPD (past) Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609953322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 5TH AVE",
            "address_2": "SUITE MG",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100372101",
            "telephone_number": "212-368-6700",
            "fax_number": "212-368-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 5TH AVE",
            "address_2": "SUITE MG",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100372101",
            "telephone_number": "212-368-6700",
            "fax_number": "212-368-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIORDAN",
        "first_name": "MARYANN",
        "middle_name": "THERESA",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "049484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02373628",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mylaine Riobe Heron, MD
• Estefania Riofrio
• Thomas Antonio Riolo, D.O.
• Brenna Mary Riordan
• Diana Riordan, RN
• Michelle Riordan
• Reilly Riordan, PA-C
• Robert Riordan, JD, PSYD
• Sarah Riordan, MD
• Daymaruis Rios Hernandez

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.