Individual provider Active NPI

Riley Allen Schaff, D.D.S.

  • Dentist
  • Ann Arbor, MI
National Provider Identifier
1760923452
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901022545 Issued in MI
Practice address
2411 Oak Valley Dr Ste 600
Ann Arbor, MI 48103-7601
Phone
(734) 761-1122
NPI assigned
Mar 14, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901022545 MI Primary
Dentist 122300000X DEUW.DR.60736653 WA

Addresses

Primary practice location

2411 Oak Valley Dr Ste 600
Ann Arbor, MI 48103-7601

Mailing address

2411 Oak Valley Dr Ste 600
Ann Arbor, MI 48103-7601
Phone (734) 761-1122

Other practice location 1

4915 25th Ave NE Ste 205
Seattle, WA 98105-5668
Phone (206) 524-1600

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
2901022545MIMDDentist
DEUW.DR.60736653WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Peregrine Pacific Anesthesia PLLC Past Accepting new patients
Winston & Letwin DDS, PLLC PastSince Jul 24, 2022 Accepting new patients
Oak Valley Dental Associates, P.C. PastSince Apr 19, 2020 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1760923452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 OAK VALLEY DR STE 600",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481037601",
            "telephone_number": "734-761-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 OAK VALLEY DR STE 600",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481037601",
            "telephone_number": "734-761-1122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4915 25th Ave NE Ste 205",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981055668",
            "country_code": "US",
            "telephone_number": "206-524-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAFF",
        "first_name": "RILEY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-14",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022545",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DEUW.DR.60736653",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.