Jerome Riddle DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4217 Issued in AZ

Legal business name

JEROME RIDDLE DDS PC

Practice address

6345 E Bell Rd
Suite #2
Scottsdale, AZ 85254-6452

Phone

(480) 991-4410

Fax

(480) 948-0982

NPI assigned

Oct 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jerome John Riddle III, D.D.S.NPI 1992880546

Title

Dentist

Phone

(480) 991-4410

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, and the practitioner matching its NPPES authorized official.

• Jerome John Riddle, D.D.S.

  • General Practice Dentistry
  • Scottsdale, AZ
  • NPI 1992880546
  NPD (past) Authorized official

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366527632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6345 E BELL RD",
            "address_2": "SUITE #2",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546452",
            "telephone_number": "480-991-4410",
            "fax_number": "480-948-0982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6345 E BELL RD",
            "address_2": "SUITE #2",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546452",
            "telephone_number": "480-991-4410",
            "fax_number": "480-948-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME RIDDLE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIDDLE",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "480-991-4410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Jenson, P.A.-C
• Kendall D Jenson, PA- C
• Max Jepson, O.D.
• Kari Jerge, M.D.
• Jerity Enterprises, LLC (Macrotherapy)
• Jerry R. Burger O.D., P.C.
• Jerry's Geri Care LLC
• Ryan J Jeschien, DPT
• Laura Jesmer, LCSW
• Salma Jesmin, MD

• General Practice Dentistry in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.