Organization Active NPI

Jennifer Hunter-Riley, DDS, PA

Doing business as Smiles By Design

  • Dental Clinic/Center
  • Salisbury, NC
National Provider Identifier
1962948133
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5500 Issued in NC
Legal business name
JENNIFER HUNTER-RILEY, DDS, PA
Doing business as
Smiles By Design
Practice address
1107 Statesville Blvd
Suite C & D
Salisbury, NC 28144-2287
Phone
(704) 637-6717
Fax
(704) 637-6715
NPI assigned
Jan 12, 2017
Last updated
Jan 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Authorized official

Name
Dr. Edward Riley, PHD
Title
Chief Executive Office
Phone
(704) 637-6717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5500 NC Primary

Addresses

Primary practice location

1107 Statesville Blvd
Suite C & D
Salisbury, NC 28144-2287

Mailing address

1107 Statesville Blvd
Suite C & D
Salisbury, NC 28144-2287
Phone (704) 637-6717

Other identifiers 1

IdentifierTypeStateIssuer
5921268MedicaidNC

Other names 1

  • Smiles By Design Doing business as

National Provider Directory

National Provider Directory

Locations

1107 Statesville Blvd
Ste C
Salisbury, NC 28144
Phone (704) 637-6717

NPI Registry JSON

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1962948133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 STATESVILLE BLVD",
            "address_2": "SUITE C & D",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442287",
            "telephone_number": "704-637-6717",
            "fax_number": "704-637-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 STATESVILLE BLVD",
            "address_2": "SUITE C & D",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442287",
            "telephone_number": "704-637-6717",
            "fax_number": "704-637-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER HUNTER-RILEY, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICE",
        "authorized_official_telephone_number": "704-637-6717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "5500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5921268",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles By Design",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.