Individual provider Active NPI

Daniel E Riggs, D.D.S., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Quincy, IL
National Provider Identifier
1548341191
Registry record updated Feb 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
021-001826 Issued in IL
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

Updated by the provider on Feb 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
019023491MedicaidIL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040123001055 IL Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 2769381060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral 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

LicenseStateTypeSpecialty
021-001826ILMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Quincy Physicians & Surgeons Clinic, PLLC CurrentSince Mar 1, 2018 Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC CurrentSince Mar 1, 2018 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.

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

Verify at the official NPI Registry.