Active NPI
Matthew Lee Riggs, D.D.S.
- General Practice Dentistry
- Newport Beach, CA
National Provider Identifier
1851524904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 58514
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160414001869 | CA | Order and Referring Only - 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.