Harold Conrad Rider III, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5346 Issued in LA

Practice address

129 Burke St
New Iberia, LA 70560-3784

Phone

(337) 365-1512

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1477572642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 BURKE ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705603784",
            "telephone_number": "337-365-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 BURKE ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705603784",
            "telephone_number": "337-365-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDER",
        "first_name": "HAROLD",
        "middle_name": "CONRAD",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Culotta Renard, LAC
• Donald Ray Rener Sr.
• Richard a Soileau
• Bobby John Richard Jr., MS
• Lexie Richardson, PHARMD
• J. Stephen Riley, O.D.
• Rising Hope Therapy & Wellness LLC
• Sarah Rito, MD
• Stephen James Ritter, MD
• Therese L. Ritter, M.D.

• General Practice Dentistry in New Iberia, LA
• Providers in New Iberia, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.