DR. DUSTIN DAVID RIDDLE DCDPMMHA NPI 1972617629

NPI Information

  • NPI: 1972617629
  • Provider Name: DR. DUSTIN DAVID RIDDLE, DC,DPM,MHA
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: W2654 COUNTY ROAD KK
    APPLETON, WI
    ZIP 54915
  • Phone: (920) 830-2221

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NPI Details

DR. Dustin David Riddle, DC,DPM,MHA is a foot and ankle surgery podiatrist in Appleton, WI with 11 years of experience. DR. Dustin David Riddle, DC,DPM,MHA NPI is 1972617629. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

W2654 COUNTY ROAD KK
APPLETON, WI
ZIP 54915-468
Phone: (920) 830-2221

The NPI 1972617629 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Repair of toe tendon (HCPCS:28010)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • Permanent removal fingernail or toenail (HCPCS:11750)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)

The enumeration date for this NPI number is 8/19/2006 and was last updated on 4/26/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor3880-012WISCONSINNo
2213ES0103XPodiatristFoot & Ankle Surgery1127-25WISCONSINYes
3213ES0103XPodiatristFoot & Ankle Surgery135000875ILLINOISNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
138961800MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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