Organization Active NPI

Crystel Ananos Riggs DMD PA

  • General Practice Dentistry
  • Stuart, FL
National Provider Identifier
1982203584
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CRYSTEL ANANOS RIGGS DMD PA
Doing business as
Riggs Family Dentistry
Practice address
900 SE Ocean Blvd Ste 248
Stuart, FL 34994-3501
Phone
(772) 220-4171
NPI assigned
Oct 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Authorized official

Name
Dr. Crystel Ananos Riggs, DMDNPI 1538210174
Title
Pres
Phone
(772) 220-4171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

900 SE Ocean Blvd Ste 248
Stuart, FL 34994-3501

Mailing address

900 SE Ocean Blvd Ste 248
Stuart, FL 34994-3501
Phone (772) 220-4171

Other names 1

  • Riggs Family Dentistry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201231001363 FL DME Supplier - Oral Surgery - Dentist 0143633529 Practice locations: Stuart, FL

National Provider Directory

National Provider Directory

Locations

900 SE Ocean Blvd
Ste 248
Stuart, FL 34994
Phone (772) 220-4171

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1982203584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SE OCEAN BLVD STE 248",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943501",
            "telephone_number": "772-220-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SE OCEAN BLVD STE 248",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943501",
            "telephone_number": "772-220-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTEL ANANOS RIGGS DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "RIGGS",
        "authorized_official_first_name": "CRYSTEL",
        "authorized_official_middle_name": "ANANOS",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "772-220-4171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riggs Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.