Healthcare Provider Details

I. General information

NPI: 1063640761
Provider Name (Legal Business Name): CARA JOY RILEY DMD, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2009
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6947 COAL CREEK PKWY SE # 707
NEWCASTLE WA
98059-3136
US

IV. Provider business mailing address

208 S GILPIN ST
DENVER CO
80209-2613
US

V. Phone/Fax

Practice location:
  • Phone: 410-294-2888
  • Fax:
Mailing address:
  • Phone: 410-294-2888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223D0004X
TaxonomyDental Anesthesiology
License NumberDE61632063
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code1223D0004X
TaxonomyDental Anesthesiology
License Number10727
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License NumberDEN.00010727
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: