Individual provider Active NPI

Matthew Lee Riggs, D.D.S.

  • General Practice Dentistry
  • Newport Beach, CA
National Provider Identifier
1851524904
Registry record updated Aug 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
58514 Issued in CA
Practice address
2382 SE Bristol St
Suite a
Newport Beach, CA 92660-0756
Phone
(949) 752-1210
Fax
(949) 752-1220
NPI assigned
Aug 24, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 58514 CA Primary

Addresses

Primary practice location

2382 SE Bristol St
Suite a
Newport Beach, CA 92660-0756

Mailing address

22981 Sonriente TRL
Coto de Caza, CA 92679-3601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160414001869 CA Order and Referring Only - DentistPractitioner - Dentist 2769780352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251072000000",
    "number": "1851524904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22981 SONRIENTE TRL",
            "city": "COTO DE CAZA",
            "state": "CA",
            "postal_code": "926793601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2382 SE BRISTOL ST",
            "address_2": "SUITE A",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600756",
            "telephone_number": "949-752-1210",
            "fax_number": "949-752-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGGS",
        "first_name": "MATTHEW",
        "middle_name": "LEE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-24",
        "last_updated": "2009-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.