Jaclyn Ridder DDS, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JACLYN RIDDER DDS, LLC

Doing business as

Cumberland Pointe Dental

Practice address

15887 Cumberland Rd Ste 104
Noblesville, IN 46060-4332

Phone

(317) 770-4783

NPI assigned

Nov 7, 2018

Last updated

Nov 7, 2018By 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

Jaclyn Kristine Ridder, DDSNPI 1790122273

Title

Dentist

Phone

(317) 418-1342

Specialties & licenses 1

Addresses

Other names 1

• Cumberland Pointe 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, and the practitioner matching its NPPES authorized official.

• Jaclyn Kristine Ridder, DDS

  • General Practice Dentistry
  • Noblesville, IN
  • NPI 1790122273
  NPD Authorized official

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541548800000",
    "number": "1407324551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15540 BRACKENWOOD CT",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460626704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15887 CUMBERLAND RD STE 104",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460604332",
            "telephone_number": "317-770-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACLYN RIDDER DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A",
        "authorized_official_last_name": "RIDDER",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_middle_name": "KRISTINE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "317-418-1342",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cumberland Pointe Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Irwin, CST, CSFA
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• J Biffle Counseling LLC
• Kalie Jackson
• Mari Ann Jackson, ST
• Luke Edward James, D.C.
• Janus Developmental Services, Inc.
• Jared N Himsel DC PC
• Rachel Jarrett
• Jeffrey R Ginther MD PC

• Dental Clinic/Center in Noblesville, IN
• Providers in Noblesville, 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 Nov 7, 2018; 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.