SAMRAH RIAZ
NPI 1790593580
Dentist - General Practice in Manitowoc, WI
NPI Status: Active since December 25, 2024
Contact Information
2719 CALUMET AVE
MANITOWOC, WI
ZIP 54220
Phone: (920) 686-2333
- Individual
- Female
- Dentist
- General Practice
About SAMRAH RIAZ
This page provides the complete NPI Profile along with additional information for Samrah Riaz, a provider established in Manitowoc, Wisconsin with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1790593580 assigned on December 2024. The practitioner's primary taxonomy code is 1223G0001X with license number 6001852-15 (WI). The provider is registered as an individual and her NPI record was last updated July 2025.
- NPI
- 1790593580
- Provider Name
- SAMRAH RIAZ
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2719 CALUMET AVE MANITOWOC, WI 54220
- Location Phone
- (920) 686-2333
- Mailing Address
- 1801 BURR OAK CT WAUKESHA, WI 53189
- Mailing Phone
- (262) 744-5838
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-25-2024
- Last Update Date
- 07-16-2025
- Code Navigator
A dentist like Samrah Riaz is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Secondary Locations
- 3450 Lacey Rd
Downers Grove, IL 60515
(630) 743-4500
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- 6001852-15
- License State
- WI
- Taxonomy Description
- A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program | (WI) |
Reviews for SAMRAH RIAZ
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 9 | 0 | 5 | 9 | 3 | 5 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 10 | 9 | 6 | 5 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 1 + 0 + 9 + 6 + 5 + 1 + 6 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1790593580 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1407917883 | MILTON LEGANCHUK LAT Individual | Specialist/Technologist (Athletic Trainer) | 2719 CALUMET AVE MANITOWOC, WI 54220 (920) 683-1900 |
| 1508391020 | LAKESHORE COMMUNITY HEALTH CARE, INC Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 2719 CALUMET AVE MANITOWOC, WI 54220 (920) 686-2333 |
| 1770195810 | PATRICK THOMAS BERG DDS Individual | Dentist | 2719 CALUMET AVE MANITOWOC, WI 54220 (920) 686-2333 |
| 1932835485 | ELI VANG DMD Individual | Dentist | 2719 CALUMET AVE MANITOWOC, WI 54220 (920) 783-6633 |
| 1366166621 | MR. BEOM YOUNG LEE DMD Individual | Dentist | 2719 CALUMET AVE MANITOWOC, WI 54220 (920) 783-6633 |
| 1902509466 | JISOO HONG DDS Individual | Dentist | 2719 CALUMET AVE MANITOWOC, WI 54220 (920) 686-2333 |
| 1467252825 | DR. LAUREN ANNE SCARRY DMD Individual | Dentist | 2719 CALUMET AVE MANITOWOC, WI 54220 (920) 686-2333 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790593580, enumerated in the NPI registry as an "individual" on December 25, 2024
The provider is located at 2719 Calumet Ave Manitowoc, Wi 54220 and the phone number is (920) 686-2333
The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice
This NPI record was last updated on December 25, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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