Audrey Riegel, DMD, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

S4-134 Issued in NV

Practice address

2610 W Horizon Ridge Pkwy Ste 202
Henderson, NV 89052-2870

Phone

(702) 270-4600

NPI assigned

Jul 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Anthem Periodontics and Dental Implants

  • Periodontics
  • Henderson, NV
  • NPI 1861942625
  NPD (past)
• Ed Deandrade DDS, LTD.

  • Periodontics
  • Henderson, NV
  • NPI 1144331588
  NPD (past)

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1437767209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 W HORIZON RIDGE PKWY APT 2721",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890124437",
            "telephone_number": "970-769-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 W HORIZON RIDGE PKWY STE 202",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522870",
            "telephone_number": "702-270-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEGEL",
        "first_name": "AUDREY",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-17",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00204430",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NV",
            "license": "S4-134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Rico
• Melissa Ann Ridella, APRN
• John Vincent Rider, PHD, MS, OTR/L
• Stuart Lee Riding, MD
• Champagne Ridley
• Tomoe Riekstins, OMD
• Magdeline S Riemenschneider, PA-C
• Matthew Lee Rigby, CRNA
• Sheredria-Lee Chelsy Rigby
• Kayli Riggs

• Periodontics in Henderson, NV
• Providers in Henderson, NV by specialty
• Periodontics in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.