Active NPI
Daniel E Riggs, D.D.S., M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Quincy, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 021-001826
- Practice address
- 3915 Maine St
Suite 3
Quincy, IL 62305-5843 - Phone
- (217) 222-9434
- Fax
- (217) 222-0671
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 021-001826 | IL | Primary |
Addresses
Primary practice location
3915 Maine St
Suite 3
Quincy, IL 62305-5843
Mailing address
4309 Bunker Dr
Quincy, IL 62305-6200
Phone (217) 228-8458
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019023491 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Maxillofacial Surgery
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1025 Maine St
Quincy, IL 62301-4038
Phone (217) 222-6550
3915 Maine St
Suite 3
Quincy, IL 62305-5843
Phone (207) 222-9434
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021-001826 | IL | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quincy Physicians & Surgeons Clinic, PLLC | Current | Accepting new patients | |
| Quincy Physicians & Surgeons Clinic, PLLC | Current | Accepting new patients | |
| Quincy Physicians & Surgeons Clinic, PLLC | Current | Accepting new patients | |
| Alan M. Stoll, DDS,PC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Locations
1025 Maine St
Quincy, IL 62301
Phone 21722265503163
3915 Maine St
Ste 3
Quincy, IL 62305
Phone (217) 222-9434
Organizations & group practices 4
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.
-
- Clinic/Center
- Quincy, IL
- NPI 1548234198
-
dba Quincy Medical Group Barry Affiliate
- Rural Health Clinic/Center
- Barry, IL
- NPI 1013981547
-
- Durable Medical Equipment & Medical Supplies
- Pittsfield, IL
- NPI 1871794925
-
- Oral and Maxillofacial Surgery (Dentist)
- Hannibal, MO
- NPI 1972773364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518048000000",
"number": "1548341191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4309 BUNKER DR",
"city": "QUINCY",
"state": "IL",
"postal_code": "623056200",
"telephone_number": "217-228-8458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3915 MAINE ST",
"address_2": "SUITE 3",
"city": "QUINCY",
"state": "IL",
"postal_code": "623055843",
"telephone_number": "217-222-9434",
"fax_number": "217-222-0671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIGGS",
"first_name": "DANIEL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.D.S., M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2018-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "IL",
"license": "021-001826",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019023491",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.