DR. VAN KEITH RILEY (NPI# 1083617484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083617484 |
| Entity Type | Individual |
| Full Name | DR. VAN KEITH RILEY |
| Credential | DDS |
| Practice Address |
1454 Madison Ave W Immokalee FL 34142-2200 |
| Mailing Address |
330 Hawser Ln Naples FL 34102-5031 |
| Practice Telephone | 2396583198 |
| Practice Fax Number | 2396583050 |
| Mailing Telephone | 2392625309 |
| Mailing Fax Number | 2392621939 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
D04687 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | DENTAL LICENSE | D04687 | 01 |
| FL | DEA NUMBER | AR4954194 | 01 |
| Street Address |
1454 MADISON AVE W |
| City | IMMOKALEE |
| State | FL |
| Zip Code | 34142-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467071076 | Riha Wadhwa | Student in an Organized Health Care Education/Training Program | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2020-04-14 |
| 1558821918 | Ilmary Enid Arce Febles | Dentist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2019-03-21 |
| 1578047221 | Frances Sanchez Duverge | Psychologist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2018-09-19 |
| 1043716996 | Anthony Tyler Riggio | Dentist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2018-03-31 |
| 1891210399 | Jean Kesnold Mesidor | Psychologist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2017-08-07 |
| 1952852758 | Christell Sanchez | Dental Hygienist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2016-10-18 |
| 1740731447 | Paul Beingolea | Dental Hygienist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2016-10-18 |
| 1093266892 | Olga Guerrero | Dental Hygienist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2016-10-18 |
| 1184175986 | Orayna Perez | Dental Hygienist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2016-10-18 |
| 1538610332 | Blanca Pazos-farkas | Dental Hygienist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2016-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619432622 | Gabriels House of Care Fl. LLC | Acupuncturist | 212 South First St., Immokalee, FL 34142 | 2019-02-04 |
| 1851662472 | Seminole Tribe of Florida | Clinic/Center | 1120 S. First Street, Immokalee, FL 34142 | 2012-01-13 |
| 1881849826 | Michael Kane | Dentist | 1013 W. Main St., Unit 6a, Immokalee, FL 34142 | 2008-11-18 |
| 1699870485 | Jane J Darien | Social Worker | 425 North First St, Immokalee, FL 34142 | 2006-09-14 |
| 1659873891 | Dayna Sue Shull | Specialist/Technologist | 5050 Ave Maria Blvd, Ave Maria, FL 34142 | 2018-03-04 |
| 1457881922 | Immokalee Dental P.a. | Dentist | 1013 W. Main St., Unit 6a, Immokalee, FL 34142 | 2017-06-15 |
| 1063687838 | Alexandra Bianca Sarac | Pediatrics | 1441 Heritage Blvd, Immokalee, FL 34142 | 2008-04-23 |
| 1215262977 | Mid State Mental Health Assessment Inc | Psychologist | 7052 Annunciation Circle, Suite 329, Ave Maria, FL 34142-0000 | 2009-10-13 |
| 1194343194 | Laury Garcia | Social Worker | 3511 Carson Lakes Cir, Immokalee, FL 34142-2092 | 2020-07-07 |
| 1558399550 | Georges Etienne Quesnel | Obstetrics & Gynecology | Marion E Fether Medical Center, 1454 Madison Ave. W, Immokalee, FL 34142-2200 | 2006-06-29 |
| Find all providers in zip 34142 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326655408 | Bedside Dental Services | Dentist | 15654 Sw 14th St, Miami, FL 33194-2627 | 2020-09-23 |
| 1609417815 | Arthur Farlow Burt | Dentist | 7655 W Gulf To Lake Hwy Ste 8, Crystal River, FL 34429-7910 | 2019-09-30 |
| 1518422294 | Brittany Fennell | Dentist | 13201 New Berlin Rd, Jacksonville, FL 32226 | 2019-02-06 |
| 1760954408 | Bright Smiles Dental Studio,pa Dba | Dentist | 730 Goodlette Rd N Ste 206, Naples, FL 34102-5618 | 2018-12-19 |
| 1730650839 | Smile Family Dental Group LLC | Dentist | 1900 Coral Way Ste 200, Coral Gables, FL 33145-2661 | 2018-12-16 |
| 1740779735 | Complete Family Dentistry, LLC | Dentist | 3015 Bayview Drive Suite B, Fort Lauderdale, FL 33306 | 2018-05-04 |
| 1255705273 | Theoral Health Institute | Dentist | 910 Sw 15th St, Deerfield Beach, FL 33441-6222 | 2015-11-16 |
| 1861802738 | Anette Betaneor, Dds, Pa | Dentist | 8372 Sw 40 St, Miami, FL 33155 | 2014-05-01 |
| 1396186649 | Ronald Edward Trapp | Dentist | 2470 Edison Ave, Project Dentists Care of Sw Florida, Fort Myers, FL 33901 | 2013-07-16 |
| 1942556337 | Avalondental Group | Dentist | 12950 E Colonial Dr Ste 124, Orlando, FL 32826-4609 | 2012-08-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.