NPIMap

Organization Active NPI

Rochelle J Riley Ddsms PLLC

  • Dentist
  • Puyallup, WA
National Provider Identifier
1679028682
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ROCHELLE J RILEY DDSMS PLLC
Practice address
2903 E Main
Puyallup, WA 98372-3169
Phone
(253) 845-9507
NPI assigned
Aug 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Authorized official

Name
Rochelle Riley Wick
Title
Owner
Phone
(253) 845-9507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2903 E Main
Puyallup, WA 98372-3169

Mailing address

2903 E Main
Puyallup, WA 98372-3169
Phone (253) 845-9507

National Provider Directory

National Provider Directory

Locations

2903 E Main
Puyallup, WA 98372
Phone (253) 845-9507

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1679028682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 E MAIN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723169",
            "telephone_number": "253-845-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2903 E MAIN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723169",
            "telephone_number": "253-845-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHELLE J RILEY DDSMS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "RILEY WICK",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-845-9507"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.