Active NPI
Paige Covington Riddle, D.D.S., M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lees Summit, MO
National Provider Identifier
1811285182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 2015012809
- Practice address
- 309 SW Market St
Lees Summit, MO 64063-2315 - Phone
- (816) 246-4671
- NPI assigned
- Jul 20, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3816 | AR | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 2015012809 | MO | Primary |
Addresses
Primary practice location
309 SW Market St
Lees Summit, MO 64063-2315
Mailing address
5005 N Piedras St
El Paso, TX 79920-5001
Phone (915) 744-6083
Other practice location 1
5005 N Piedras St
El Paso, TX 79920-5001
Phone (915) 744-6083
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48834068 | Medicaid | TX | |
| 92707564 | Medicaid | TX | |
| 77576268 | Medicaid | TX |
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015012809 | MO | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 3816 | AR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott V. Law, D.M.D. Missouri, LLC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Kansas City, MO
- NPI 1629567607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563494400000",
"number": "1811285182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5005 N PIEDRAS ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799205001",
"telephone_number": "915-744-6083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 SW MARKET ST",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640632315",
"telephone_number": "816-246-4671"
}
],
"practiceLocations": [
{
"address_1": "5005 N Piedras St",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799205001",
"country_code": "US",
"telephone_number": "915-744-6083",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COVINGTON RIDDLE",
"first_name": "PAIGE",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-20",
"last_updated": "2019-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AR",
"license": "3816",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MO",
"license": "2015012809",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "48834068",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "92707564",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77576268",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.