Thomas Warren Riley, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

2908 Greenbriar Dr
Suite C
Springfield, IL 62704-7432

Phone

(217) 787-3727

Fax

(217) 787-9175

NPI assigned

Jan 10, 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

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.

• Thomas W. Riley, DMD, LTD

  • General Practice Dentistry
  • Springfield, IL
  • NPI 1528283561
  NPD (past) Authorized official
• Smalltown Dental Springfield West PLLC

  • General Practice Dentistry
  • Springfield, IL
  • NPI 1871415877
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700935251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 GREENBRIAR DR",
            "address_2": "SUITE C",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627047432",
            "telephone_number": "217-787-3727",
            "fax_number": "217-787-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 GREENBRIAR DR",
            "address_2": "SUITE C",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627047432",
            "telephone_number": "217-787-3727",
            "fax_number": "217-787-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "THOMAS",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Leigh Rickman, RDH
• Lorelai Riday, RBT
• Karen L Ridenour, F.N.P., BC
• Kyla Ridley
• Joshua Rieke, M.D.
• Jennifer L Rimar, NP
• Derek R Rimelspach
• Alison Christine Rinaberger, M.D
• Jamie Joann Rinehart, PA
• Brianna Riney

• General Practice Dentistry in Springfield, IL
• Providers in Springfield, IL by specialty
• General Practice Dentistry in Illinois

• 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.