Tanya Kiley Sackrider, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.025253 Issued in OH

Practice address

4627 Aicholtz Rd
Cincinnati, OH 45244-1447

Phone

(513) 753-2821

Fax

(513) 528-0593

NPI assigned

May 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tanya.sackriderdds.p1@direct.hsohio.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthsource of Ohio, Inc.

  • Obstetrics & Gynecology Physician
  • Cincinnati, OH
  • NPI 1275966863
  Medicare reassignment NPD
• Healthsource of Ohio Inc

  • Community/Retail Pharmacy
  • Mt. Orab, OH
  • NPI 1235379819
  NPD
• Healthsource of Ohio Inc

  • Community/Retail Pharmacy
  • Seaman, OH
  • NPI 1376612119
  NPD
• Healthsource of Ohio Inc

  • Community/Retail Pharmacy
  • Batavia, OH
  • NPI 1891009502
  NPD
• Healthsource of Ohio, Inc.

  • Primary Care Clinic/Center
  • Seaman, OH
  • NPI 1023112224
  NPD
• Healthsource of Ohio, Inc.

  • Primary Care Clinic/Center
  • New Richmond, OH
  • NPI 1184728230
  NPD
• Healthsource of Ohio, Inc.

  • Primary Care Clinic/Center
  • Hillsboro, OH
  • NPI 1326142480
  NPD
• Healthsource of Ohio, Inc.

  • Clinic/Center
  • Lebanon, OH
  • NPI 1407288210
  NPD
• Healthsource of Ohio, Inc.

  • Primary Care Clinic/Center
  • Mount Orab, OH
  • NPI 1437253598
  NPD
• Healthsource of Ohio, Inc.

  • Clinic/Center
  • Blanchester, OH
  • NPI 1528826351
  NPD
• Healthsource of Ohio, Inc.

  • Primary Care Clinic/Center
  • Georgetown, OH
  • NPI 1700980869
  NPD
• Healthsource of Ohio, Inc.

  • Primary Care Clinic/Center
  • Cincinnati, OH
  • NPI 1780701417
  NPD

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1255546503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 WARDS CORNER RD STE 200",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451406966",
            "telephone_number": "513-707-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4627 AICHOLTZ RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452441447",
            "telephone_number": "513-753-2821",
            "fax_number": "513-528-0593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1341 Clough Pike Ste 150",
            "address_purpose": "LOCATION",
            "city": "Batavia",
            "state": "OH",
            "postal_code": "45103",
            "country_code": "US",
            "telephone_number": "513-732-5088",
            "fax_number": "513-231-2620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6438 Wilmington Pike Ste 205",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454597023",
            "country_code": "US",
            "telephone_number": "937-848-5986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SACKRIDER",
        "first_name": "TANYA",
        "middle_name": "KILEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025253",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "7034",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0334460",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald A Sachs, MD
• Shelia Marlene Sachs, LPN
• Morgan Sackenheim, MASW, LSW
• Diann Sacko
• Garrett A Sackrider
• Sacred Living Med-Care LLC
• Ama Sadaka, MD
• Kelsey Laurel Saddoris, MD
• Michelle Sadeh, PHD
• Donna Clementine Sadelfeld, CNP

• General Practice Dentistry in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.