Dr. Van Keith Riley, DDS
Dr. Van Keith Riley is a Public Health Dentistry provider (Dentist) practicing in Immokalee, FL, registered in the NPPES registry with NPI 1083617484 since 2005. The credential DDS stands for Doctor of Dental Surgery.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1083617484 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Van Keith Riley |
| Credential | DDS |
| Sex | Male |
| Practice address | 1454 MADISON AVE W, Immokalee, FL, 34142 |
| Phone | 2396583198 |
| Fax | 2396583050 |
| Enumeration date | 2005-05-31 |
| Last updated in NPPES | 2023-03-07 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223D0001X | Public Health Dentistry | Primary | D04687 | FL |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D04687 | Other | FL | DENTAL LICENSE |
Copy-ready billing details
Provider: Van Riley, DDS NPI: 1083617484 Taxonomy: 1223D0001X (Public Health Dentistry) Address: 1454 MADISON AVE W, Immokalee, FL, 34142
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1871591867 | Dawn Bertram-Stewart | Individual | Pediatrics Physician | Immokalee, FL |
| 1346234853 | Elizabeth Orr | Individual | General Practice Dentistry | Immokalee, FL |
| 1821089707 | Denise Henning | Individual | Advanced Practice Midwife | Immokalee, FL |
| 1396736393 | Edward German | Individual | Internal Medicine Physician | Immokalee, FL |
| 1952392631 | Maria Villa | Individual | Family Medicine Physician | Immokalee, FL |
| 1942274147 | Victor Stewart | Individual | Family Nurse Practitioner | Immokalee, FL |
| 1609827211 | Collier Health Services Inc | Organization | Federally Qualified Health Center (FQHC) | Immokalee, FL |
| 1538112800 | Sandra Milan | Individual | Ph.D. Medical Genetics | Immokalee, FL |
Verify this record
Cross-check NPI 1083617484 against the authoritative CMS record: view Dr. Van Keith Riley on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-03-07.