Healthcare Provider Details

I. General information

NPI: 1699623488
Provider Name (Legal Business Name): RILEY DAVID HILL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2026
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2109 CUMING ST
OMAHA NE
68102-4325
US

IV. Provider business mailing address

2929 CALIFORNIA PLZ
OMAHA NE
68131-1502
US

V. Phone/Fax

Practice location:
  • Phone: 402-280-5990
  • Fax:
Mailing address:
  • Phone: 307-272-6020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: