CHANCE DAREN RILEY (NPI# 1083191159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083191159 |
| Entity Type | Individual |
| Full Name | CHANCE DAREN RILEY |
| Credential | IDMT |
| Practice Address |
8838 Dugas Dr Apt 2202 San Antonio TX 78251-4518 |
| Mailing Address |
3222 Cpl Johnson Rd Fort Sam Houston San Antonio TX 78251 |
| Practice Telephone | 6233136461 |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| Street Address |
8838 DUGAS DR APT 2202 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78251-4518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930558 | Iyobosasere Ighoroje | Nurse Practitioner | 11212 Tx - 151, San Antonio, TX 78251 | 2020-10-19 |
| 1528679933 | Michael Medina | Registered Nurse | 1224 Leonard Hunt, San Antonio, TX 78251 | 2020-08-11 |
| 1528676053 | Calm Spring Dental | Clinic/Center | 11034 W Military Drive, Suite 104, San Antonio, TX 78251 | 2020-07-21 |
| 1659917169 | Brianna Ashly Garcia | Behavioral Analyst | 3002 Culebra Rd, 105, San Antonio, TX 78251 | 2019-11-19 |
| 1245892751 | Rodolfo Eloy Zapata | Behavior Technician | 9032 Dugas Rd Apt 118, San Antonio, TX 78251 | 2019-07-03 |
| 1174188718 | Kesar Family Pllc | Internal Medicine | 3303 Rodgers Road, Suite 250, San Antonio, TX 78251 | 2019-05-09 |
| 1730657313 | Culebra Meadows Dental Partners Pllc | Dentist | 7895 Culebra Rd., San Antonio, TX 78251 | 2018-11-13 |
| 1720563299 | San Juanita Villanueva | Specialist/Technologist | 10618 Cat Mountain, San Antonio, TX 78251 | 2018-10-01 |
| 1316421506 | Westover Hills Primary Care | Family Medicine | 9022 Culebra Rd, Ste 112, San Antonio, TX 78251 | 2018-09-24 |
| 1649750894 | Alejandro Rodriguez Flores | Physical Therapy Assistant | 9922 Tx-151, San Antonio, TX 78251 | 2018-08-17 |
| Find all providers in zip 78251 | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians. |
| Notes: Source: Air Force Surgeon General Office [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453145 | Ian Frogley | Military Health Care Provider | Jbsa 2230 Hughes Ave, San Antonio, TX 78236-8404 | 2020-10-06 |
| 1861099939 | Andrew Goebel | Military Health Care Provider | 1800 Truemper St, San Antonio, TX 78236-5510 | 2020-10-02 |
| 1376169086 | Colton Wayne Dickens | Military Health Care Provider | 5415 N Foster Rd Apt 8306, San Antonio, TX 78244-2405 | 2020-06-18 |
| 1588135719 | Alejandro Daniel Perez | Military Health Care Provider | Wilderness Trl & Camp Bullis, San Antonio, TX 78257 | 2018-12-16 |
| 1861969271 | Jose A Sanchez | Military Health Care Provider | 15425 Bobwhite Quail, San Antonio, TX 78253-6621 | 2018-10-24 |
| 1205303617 | Sean Patrick Kearns | Military Health Care Provider | 1980 Horal St Apt 1218, San Antonio, TX 78227-3939 | 2018-10-24 |
| 1730663477 | Glen Snyder | Military Health Care Provider | 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 | 2018-09-19 |
| 1265919336 | Ashley Elizabeth Malawey | Military Health Care Provider | 3222 Cpl Johnson Road, San Antonio, TX 78234 | 2018-07-23 |
| 1235622333 | Melanie Edith Rivera | Military Health Care Provider | 3600 Roger Brooke Drive, San Antonio, TX 78234 | 2018-06-13 |
| 1871086009 | Jhosselin Pamella Alonzo | Military Health Care Provider | 8655 Datapoint Dr Apt 509, San Antonio, TX 78229-3263 | 2018-06-12 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78251 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.