Active NPI
Jessica Rau Riley, DMD
- General Practice Dentistry
- Summerville, SC
National Provider Identifier
1700300142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8998
- Practice address
- 1971 N Main St
Summerville, SC 29486-7820 - Phone
- (843) 371-5886
- NPI assigned
- Jul 27, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8998 | SC | Primary |
Addresses
Primary practice location
1971 N Main St
Summerville, SC 29486-7820
Mailing address
744 Gate Post Dr
Mount Pleasant, SC 29464-4948
Phone (480) 242-7712
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8998 | SC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541721600000",
"number": "1700300142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "744 GATE POST DR",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294644948",
"telephone_number": "480-242-7712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1971 N MAIN ST",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294867820",
"telephone_number": "843-371-5886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "JESSICA",
"middle_name": "RAU",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-27",
"last_updated": "2018-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "8998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.