Tiffany Jean Riley, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8378 Issued in KY

Practice address

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

Phone

(270) 442-6617

Fax

(270) 442-0089

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Healthy Smiles Family Dental Care, PLLC

  • General Practice Dentistry
  • Paducah, KY
  • NPI 1790167500
  NPD (past) Authorized official
• Audubon Dental Center of Paducah

  • General Practice Dentistry
  • Paducah, KY
  • NPI 1588712236
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1932113974",
    "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": "270-205-8197",
            "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": {
        "last_name": "RILEY",
        "first_name": "TIFFANY",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_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": []
}

• Joy Diane Cooksey Riley, MS, CCC-SLP
• Karson Riley, DPT
• Katie Riley
• Rhonda Riley, APRN
• Rhonda Gayle Riley, M.A.
• Haley Rinella
• Jeffrey L Riney, MD
• Nicole Leann Ritchie- Hastings
• Dominique Rey Rivera, DMD
• Devon Roach, RBT

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.