Katie B Riggins, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN122665 Issued in GA

Practice address

1815 Old 41 Hwy NW Ste 310
Kennesaw, GA 30152-4427

Phone

(770) 425-4100

NPI assigned

Jun 2, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Kennesaw Mountain Dental Associates

  • General Practice Dentistry
  • Kennesaw, GA
  • NPI 1184143059
  NPD (past)

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1689313124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 COUNTRY CLUB PL NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441957",
            "telephone_number": "229-894-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 OLD 41 HWY NW STE 310",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524427",
            "telephone_number": "770-425-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGGINS",
        "first_name": "KATIE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN122665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jana L. Rickard, AT-C
• Hanna-Marie Ricketts, RBT
• Isabella Zita Ricketts, M.D.
• Garryson Ridgely, DC
• Steven Riemersma
• Jennifer Ringenberg, RN
• Susan Alice Ristau, LPC
• River Tree Chiropractic, LLC
• Erica Rivera-Armoreda, PA
• Melissa Rivera-Rodriguez

• Dentist in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.