Healthy Smiles Family Dental Care, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8378 Issued in KY

Legal business name

HEALTHY SMILES FAMILY DENTAL CARE, PLLC

Practice address

1927 Irvin Cobb Dr
Suite 1
Paducah, KY 42003-2105

Phone

(270) 442-6617

Fax

(270) 442-0089

NPI assigned

Jun 29, 2015

Last updated

Jun 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tiffany Jean Riley, DMDNPI 1932113974

Title

General Dentist

Phone

(270) 205-8197

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tiffany Jean Riley, D.M.D.

  • General Practice Dentistry
  • Paducah, KY
  • NPI 1932113974
  NPD (past) Authorized official
• James Caudill, DMD

  • Dentist
  • Paducah, KY
  • NPI 1013074335
  NPD (past)

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1790167500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 RILEY CIR",
            "city": "CALVERT CITY",
            "state": "KY",
            "postal_code": "420297803",
            "telephone_number": "270-703-8874",
            "fax_number": "888-735-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 IRVIN COBB DR",
            "address_2": "SUITE 1",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420032105",
            "telephone_number": "270-442-6617",
            "fax_number": "270-442-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SMILES FAMILY DENTAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "270-205-8197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100006580",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• HBR Barkely Drive LLC (Barkley Center)
• HBR Paducah, LLC (Paducah Care and Rehabilitation Center)
• Healing Journey PSC
• Healthstat Onsite Clinic Crounse Corp
• Healthworks Medical, LLC
• Heartland Vision Center, PLLC
• Beth L Heath, APRN
• Yolanda E Heath, ND, CCA, LPN, CNC
• Kiandra K Hebert, PH.D.
• Calvin Hedges, CRNA

• General Practice Dentistry in Paducah, KY
• Providers in Paducah, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.