Individual provider Active NPI

Riley Beth Sturgill, DMD, MSD

  • Endodontics
  • Johnson City, TN
National Provider Identifier
1821438722
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
10592 Issued in TN
Practice address
2800 Peoples St Ste 60
Johnson City, TN 37604-4158
Phone
(423) 930-8585
NPI assigned
Jun 25, 2013
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 10592 TN Primary

Addresses

Primary practice location

2800 Peoples St Ste 60
Johnson City, TN 37604-4158

Mailing address

508 Harbor Approach
Johnson City, TN 37601-3150
Phone (423) 767-9540

Other practice location 1

801 Sunset Dr Ste E5
Johnson City, TN 37604-3033
Phone (423) 930-8585

Other names 1

  • Miss Riley Beth Hodges Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1821438722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 HARBOR APPROACH",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376013150",
            "telephone_number": "423-767-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 PEOPLES ST STE 60",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044158",
            "telephone_number": "423-930-8585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Sunset Dr Ste E5",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376043033",
            "country_code": "US",
            "telephone_number": "423-930-8585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STURGILL",
        "first_name": "RILEY",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "DMD, MSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TN",
            "license": "10592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RILEY",
            "last_name": "HODGES",
            "middle_name": "BETH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.