Individual provider Active NPI

Jeffrey Allen Riggs, D.D.S., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Hendersonville, TN
National Provider Identifier
1730459181
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
9415 Issued in TN
Practice address
131 Indian Lake Blvd
Suite 100
Hendersonville, TN 37075-6210
Phone
(832) 798-1866
NPI assigned
Jan 3, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2012

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 9415 TN Primary

Addresses

Primary practice location

131 Indian Lake Blvd
Suite 100
Hendersonville, TN 37075-6210

Mailing address

131 Indian Lake Blvd
Suite 100
Hendersonville, TN 37075-6210
Phone (832) 798-1866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20140314001394 TN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7911138938

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9415TNMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1730459181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 INDIAN LAKE BLVD",
            "address_2": "SUITE 100",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370756210",
            "telephone_number": "832-798-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 INDIAN LAKE BLVD",
            "address_2": "SUITE 100",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370756210",
            "telephone_number": "832-798-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGGS",
        "first_name": "JEFFREY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "9415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.