Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Dustin David Riddle, DC, DPM, MHA

Individual provider Chiropractor · NPI 1972617629

Dr. Dustin David Riddle, DC, DPM, MHA is a Podiatry in Appleton, Wisconsin. Qualified in 2015, 11 years ago. Practices with Great Falls Clinic LLC, a 72-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
11
Licensed in
IL, WI
In the registry since
2006
Specialties on file
3
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.
MHA — Master of Health Administration
A graduate degree in health management.

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Practice location Address checks out

W2654 County Road Kk
Appleton, WI 54915-9468
Phone: (920) 830-2221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2900 N Lake Shore Dr, Chicago, IL 60657-5640 — (414) 687-5432

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 1127-25 (WI)
Chiropractor Taxonomy 111N00000X · Licence 3880-012 (WI)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 135000875 (IL)

Record details

NPI number1972617629
Entity typeIndividual (Type 1)
GenderMale
Credentials DC , DPM , MHA
Sole proprietorNo
NPI enumeratedAugust 19, 2006
Last updated in NPPESApril 26, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Great Falls Clinic Llc — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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