Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790593580 Individual Practitioner Female Practitioner

Samrah Riaz

Dentist - General Practice • Manitowoc, WI

Professional Overview & Biography Verified Profile Summary

Samrah Riaz is a registered healthcare professional specializing in Dentist - General Practice in Manitowoc, WI. Practice services are available at 2719 CALUMET AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2719 Calumet Ave

Manitowoc, WI 542205546

Telephone 9206862333
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Manitowoc, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
19 Specialists

Practicing in Manitowoc, WI (2459 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-16
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WI 6001852-15

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

3450 Lacey Rd

Downers Grove, IL 605155430

Phone: 6307434500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Donna Buechner , NP-C

Nurse Practitioner - Psychiatric/Mental Health

NPI 1114317419

Nurse Practitioner (Certified)

Jennifer Jelenic , LCSW

Social Worker - Clinical

NPI 1285234393

Licensed Clinical Social Worker

Megan Hofmeister , LPC

Counselor - Professional

NPI 1285505537

Licensed Professional Counselor

NPI 1467252825

Doctor of Dental Medicine

April Buhr , RDH

Dental Hygienist

NPI 1750805925

Registered Dental Hygienist

NPI 1851703458

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location July 16, 2025

Registered at 2719 CALUMET AVE, MANITOWOC, WI 542205546 (Tel: 9206862333)

NPI Profile Active December 25, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location December 25, 2024

Registered at 3450 LACEY RD, DOWNERS GROVE, IL 605155430 (Tel: 6307434500)

📍
Updated Business Mailing Address December 25, 2024

Registered at 1801 BURR OAK CT, WAUKESHA, WI 531898400 (Tel: 2627445838)

👤
Provider Name / Credentials Updated December 25, 2024

Recorded as SAMRAH RIAZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 25, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration December 25, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790593580
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 25, 2024
Last Update: July 16, 2025
Sole Proprietor: No

Mailing Address

1801 Burr Oak Ct

Waukesha, WI 531898400

Phone: 2627445838

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.