Kalyn Janece Riley, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35195 Issued in TX

Practice address

505 Dance Dr
West Columbia, TX 77486-4019

Phone

(979) 665-6588

NPI assigned

Jun 21, 2019

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1952962888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 COUNTY ROAD 461B",
            "city": "BRAZORIA",
            "state": "TX",
            "postal_code": "774226505",
            "telephone_number": "979-665-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 DANCE DR",
            "city": "WEST COLUMBIA",
            "state": "TX",
            "postal_code": "774864019",
            "telephone_number": "979-665-6588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "503 Dance Dr",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "TX",
            "postal_code": "774864019",
            "country_code": "US",
            "telephone_number": "979-665-6588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY",
        "first_name": "KALYN",
        "middle_name": "JANECE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Janet Ann Spicer III

• General Practice Dentistry in West Columbia, TX
• Providers in West Columbia, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.