RILEY DENTAL ASSOCIATES, LLC (NPI# 1558620997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558620997 |
| Entity Type | Organization |
| Organization Name | RILEY DENTAL ASSOCIATES, LLC |
| Practice Address |
10 Hawthorne Pl Suite 102 Boston MA 02114-2336 |
| Practice Telephone | 6177234032 |
| Practice Fax Number | 6177234059 |
| Mailing Telephone | 6177234032 |
| Mailing Fax Number | 6177234059 |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2012-05-04 |
| Authorized Official Name | DR. EDWIN JOSPEH RILEY III (CO-OWNER) |
| Authorized Official Telephone | 6177234032 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
DN12185 | MA | Ambulatory Health Care Facilities |
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DN19965 | MA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | DENTIST TRACTIONER NPI TYPE 1 | 1730101767 | 01 |
| MA | DENTIST PRACTIONER NPI TYPE 1 | 1235213752 | 01 |
| Street Address |
10 HAWTHORNE PL SUITE 102 |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-2336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891785572 | Rebecca Niloff | Pediatrics | 10 Hawthorne Pl, Ste 110, Boston, MA 02114-2336 | 2005-10-25 |
| 1164763090 | Peter L. Lou Md | Ophthalmology | 10 Hawthorne Pl, Suite 106, Boston, MA 02114-2336 | 2013-03-01 |
| 1992862247 | David W. Lhowe, M.d., P.C. | Orthopaedic Surgery | 10 Hawthorne Pl, Suite 114, Boston, MA 02114-2336 | 2007-01-03 |
| 1477626190 | Peter Lou, M.d. P.C. | Ophthalmology | 10 Hawthorne Pl, Suite 106, Boston, MA 02114-2336 | 2006-11-17 |
| 1952315954 | Ralph B Sozio Dmd PC | Dentist | 10 Hawthorne Pl, Suite 102, Boston, MA 02114-2336 | 2006-07-28 |
| 1730101767 | Edwin J Riley IIi | Dentist | 10 Hawthorne Pl, Suite 102, Boston, MA 02114-2336 | 2006-07-25 |
| 1487639274 | John Conyngham Robinson | Pediatrics | 10 Hawthorne Pl, Milton Pediatric Associates Mgh Ste 110 H 10 110, Boston, MA 02114-2336 | 2005-12-14 |
| 1770565780 | Pauline C Pappas | Pediatrics | 10 Hawthorne Pl, Ste 110, Boston, MA 02114-2336 | 2005-11-16 |
| 1336130954 | Lisa Mei-inn Wong | Pediatrics | 10 Hawthorne Pl, Suite 110, Boston, MA 02114-2336 | 2005-11-02 |
| 1326039975 | David W Lhowe | Orthopaedic Surgery | 10 Hawthorne Pl, Suite 115, Boston, MA 02114-2336 | 2005-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1407465743 | Beacon Dental Health PC | Clinic/Center | 21 Merchants Row Ste 2a, Boston, MA 02109-2040 | 2020-07-22 |
| 1720642143 | Akradi Dental, LLC | Clinic/Center | 21 Bay State Rd # 3, Boston, MA 02215-2101 | 2019-05-01 |
| 1124595111 | Bespoke Dental Boston | Clinic/Center | 11 Newbury St Fl 4, Boston, MA 02116-3138 | 2018-10-28 |
| 1851871081 | Boston Premier Dentistry, PC | Clinic/Center | 10 Tremont St Ste 402, Boston, MA 02108-2062 | 2018-08-16 |
| 1376032292 | Boston Park Dental Group | Clinic/Center | 128a Tremont St Fl 3, Boston, MA 02108-4716 | 2018-05-07 |
| 1447752563 | Kristen Choe Dority, Dmd, PC | Clinic/Center | 37 Newbury St Ste 3, Boston, MA 02116-3428 | 2018-03-05 |
| 1639682305 | Boston Dental Partners LLC | Clinic/Center | 330 Martin Luther King Blvd, Boston, MA 02119-1868 | 2017-11-15 |
| 1831619469 | Levy Family Dental LLC | Clinic/Center | 185 Devonshire St Ste 410, Boston, MA 02110-1413 | 2017-06-24 |
| 1811417603 | Trinity Dental Pllc | Clinic/Center | 1 Huntington Ave Unit B, Boston, MA 02116-5713 | 2017-06-22 |
| Find all providers in BOSTON | ||||
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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.