Individual provider Active NPI

Daniela V Riegel, DMD

  • Dentist
  • Alton, IL
National Provider Identifier
1861832966
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019029494 Issued in IL
Practice address
3432 College Ave
Alton, IL 62002-5006
Phone
(618) 465-5815
Fax
(618) 465-5927
NPI assigned
Jul 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019029494 IL Primary

Addresses

Primary practice location

3432 College Ave
Alton, IL 62002-5006

Mailing address

3432 College Ave
Alton, IL 62002-5006
Phone (618) 465-5815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20180925002200 MO Order and Referring Only - DentistPractitioner - Dentist 1456602887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019029494ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Affordable Dentistry Today, PC 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.

NPI Registry JSON

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372809600000",
    "number": "1861832966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3432 COLLEGE AVE",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025006",
            "telephone_number": "618-465-5815",
            "fax_number": "618-465-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3432 COLLEGE AVE",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025006",
            "telephone_number": "618-465-5815",
            "fax_number": "618-465-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEGEL",
        "first_name": "DANIELA",
        "middle_name": "V",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-03",
        "last_updated": "2013-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

Verify at the official NPI Registry.