Active NPI
Daniel H Riddick, MD
- Reproductive Endocrinology Physician
- Burlington, VT
National Provider Identifier
1679593941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- 042-0007329
- Practice address
- 111 Colchester Ave
Fahc, MP4
Burlington, VT 05401-1473 - Phone
- (802) 847-1400
- NPI assigned
- Jul 20, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 042-0007329 | VT | |
| Reproductive Endocrinology Physician | 207VE0102X | 042-0007329 | VT | Primary |
Addresses
Primary practice location
111 Colchester Ave
Fahc, MP4
Burlington, VT 05401-1473
Mailing address
680 Mayo Rd
Huntington, VT 05462-9410
Phone (802) 434-2745
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00916183 | Other | NY | NEW YORK MEDICAID |
| 0002553 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0007329 | VT | MD | Reproductive Endocrinology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1679593941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 MAYO RD",
"city": "HUNTINGTON",
"state": "VT",
"postal_code": "054629410",
"telephone_number": "802-434-2745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 COLCHESTER AVE",
"address_2": "FAHC, MP4",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054011473",
"telephone_number": "802-847-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDDICK",
"first_name": "DANIEL",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "VT",
"license": "042-0007329",
"primary": false
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "VT",
"license": "042-0007329",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK MEDICAID",
"identifier": "00916183",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0002553",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.