Individual provider Active NPI

Edward Patrick Riggins, D.M.D.

  • General Practice Dentistry
  • Poughkeepsie, NY
National Provider Identifier
1124034236
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
032080 Issued in NY
Practice address
201 South Ave
Suite 303
Poughkeepsie, NY 12601-4812
Phone
(845) 473-1212
Fax
(845) 473-1212
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 032080 NY Primary

Addresses

Primary practice location

201 South Ave
Suite 303
Poughkeepsie, NY 12601-4812

Mailing address

201 South Ave
Suite 303
Poughkeepsie, NY 12601-4812
Phone (845) 473-1212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 15, 2015 through Jan 15, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
032080NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124034236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SOUTH AVE",
            "address_2": "SUITE 303",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014812",
            "telephone_number": "845-473-1212",
            "fax_number": "845-473-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SOUTH AVE",
            "address_2": "SUITE 303",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014812",
            "telephone_number": "845-473-1212",
            "fax_number": "845-473-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGGINS",
        "first_name": "EDWARD",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "032080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.