Individual provider Active NPI

Lynda Roberts-Riddle, DDS

  • Dentist
  • Lincoln Heights, OH
National Provider Identifier
1598732653
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30-017078 Issued in OH
Practice address
1401 Steffen Ave
Lincoln Heights, OH 45215-2338
Phone
(513) 483-3087
Fax
(513) 554-0136
NPI assigned
Mar 7, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30-017078 OH Primary

Addresses

Primary practice location

1401 Steffen Ave
Lincoln Heights, OH 45215-2338

Mailing address

7697 Greenfarms Dr
Cincinnati, OH 45224-1213
Phone (513) 521-4902

Other identifiers 1

IdentifierTypeStateIssuer
0176652MedicaidOH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180227001203 OH Practitioner - Dentist 6800194499 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30-017078OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
The Healthcare Connection, Inc CurrentSince Feb 29, 2016 Accepting new patients
The Healthcare Connection, Inc. CurrentSince Feb 29, 2016 Accepting new patients

Locations

1401 Steffen Ave
Cincinnati, OH 45215
Phone (513) 483-3092

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: lynda.robertsriddle.p7@direct.healthcareconnection.nextgenshare.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1598732653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7697 GREENFARMS DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452241213",
            "telephone_number": "513-521-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 STEFFEN AVE",
            "city": "LINCOLN HEIGHTS",
            "state": "OH",
            "postal_code": "452152338",
            "telephone_number": "513-483-3087",
            "fax_number": "513-554-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS-RIDDLE",
        "first_name": "LYNDA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-017078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0176652",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.