Healthcare Provider Details

I. General information

NPI: 1538242300
Provider Name (Legal Business Name): JOHN R RIGGS DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 ARLINGTON HEIGHTS ROAD
ELK GROVE VILLAGE IL
60007
US

IV. Provider business mailing address

750 ARLINGTON HEIGHTS ROAD
ELK GROVE VILLAGE IL
60007
US

V. Phone/Fax

Practice location:
  • Phone: 847-437-5696
  • Fax: 847-437-7395
Mailing address:
  • Phone: 847-437-5696
  • Fax: 847-437-7395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number19A13196
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number21S631
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: