Organization Active NPI

Thomas E Rider DDS

  • Dentist
  • Hickory, NC
National Provider Identifier
1487845533
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5978 Issued in NC
Legal business name
THOMAS E RIDER DDS
Practice address
1231 Shiloh Church Road
Hickory, NC 28601
Phone
(828) 495-8256
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Dr. Thomas Edward Rider, DDSNPI 1902837529
Title
Owner
Phone
(828) 495-8256

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5978 NC Primary

Addresses

Primary practice location

1231 Shiloh Church Road
Hickory, NC 28601

Mailing address

PO Box 6035
Hickory, NC 28603-6035
Phone (828) 495-8256

Other identifiers 1

IdentifierTypeStateIssuer
8997391MedicaidNC

National Provider Directory

National Provider Directory

Locations

1231 Shiloh Church Rd
Hickory, NC 28601
Phone (828) 495-8256

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1487845533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6035",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286036035",
            "telephone_number": "828-495-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 SHILOH CHURCH ROAD",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "28601",
            "telephone_number": "828-495-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS E RIDER DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "RIDER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-495-8256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "5978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8997391",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.