Van Keith Riley, DDS

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

D04687 Issued in FL

Practice address

1454 Madison Ave W
Immokalee, FL 34142-2200

Phone

(239) 658-3198

Fax

(239) 658-3050

NPI assigned

May 31, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Collier Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Immokalee, FL
  • NPI 1609827211
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083617484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 HAWSER LN",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025031",
            "telephone_number": "239-262-5309",
            "fax_number": "239-262-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 MADISON AVE W",
            "city": "IMMOKALEE",
            "state": "FL",
            "postal_code": "341422200",
            "telephone_number": "239-658-3198",
            "fax_number": "239-658-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "VAN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "FL",
            "license": "D04687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "D04687",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reinier F Ramirez, MD
• Ana G Ramos Peraza
• Paulette Vicario Ramsey, NP
• Results Care, LLC
• Anthony Tyler Riggio, DDS
• Maria Eugenia Rodriguez Ruiz, PSYD
• Jeania Romeus, PMHNP
• Javier I Rosado, PHD
• Flora Consul Sakornsin, M.D.
• Basent M. Saleh, DDS

• Public Health Dentistry in Immokalee, FL
• Providers in Immokalee, FL by specialty
• Public Health Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.