Jacob Rider DDS Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JACOB RIDER DDS CORPORATION

Practice address

2437 Harbor Blvd
Ventura, CA 93001-3904

Phone

(805) 804-5590

NPI assigned

Sep 12, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jacob Rider, DDSNPI 1467717546

Title

President

Phone

(805) 804-5590

Specialties & licenses 1

Addresses

Other names 1

• Pierpont Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob Ryan Rider, D.D.S.

  • General Practice Dentistry
  • Ventura, CA
  • NPI 1467717546
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1043046378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2437 HARBOR BLVD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930013904",
            "telephone_number": "805-804-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2437 HARBOR BLVD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930013904",
            "telephone_number": "805-804-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB RIDER DDS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "RIDER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-804-5590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pierpont Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tariq Jabaiti, DDS
• Alex Jackson
• Brandi Denise Jackson
• Jeramie Jackson
• Mary Elizabeth Jackson, RN, LM
• Jacob Rider DDS LLC
• Wendy Nicole Jacobo
• David Marc Jacobs
• James Owen Jacobs, DDS, MS
• Neil Jacobson, PT

• General Practice Dentistry in Ventura, CA
• Providers in Ventura, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.