Rider Family Dentistry LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RIDER FAMILY DENTISTRY LLC

Practice address

1305 W 86TH St
Indianapolis, IN 46260-2481

Phone

(317) 259-1501

NPI assigned

Aug 4, 2023

Organization subpart

No

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

Authorized official

Name

Kurtis Rider, DMDNPI 1518344894

Title

Manager

Phone

(317) 201-3576

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kurtis Rider, D.M.D.

  • Dentist
  • Noblesville, IN
  • NPI 1518344894
  NPD Authorized official

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1053093351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15884 VIKING LAIR RD",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460745526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 W 86TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602481",
            "telephone_number": "317-259-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDER FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "RIDER",
        "authorized_official_first_name": "KURTIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "317-201-3576",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Ryan Ridenour, FNP
• Rachael Ridenour
• Rebecca Lauren Ridenour, NP
• Shon M Ridenour
• Rachel Lea Rideout, MA, CCC-SLP
• Andrea Elizabeth Ridge, LCSW
• Jennifer Ridge, LCSW
• Jessica Ridge, NP
• Jill Ann Ridge
• Mariah Ridley

• Dental Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.