Kelvin J Ridder, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10481 Issued in IA

Practice address

203 29TH St NE Ste 2
Cedar Rapids, IA 52402-4862

Phone

(319) 364-3221

Fax

(319) 364-1860

NPI assigned

Jul 22, 2026

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

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

{
    "created_epoch": "1784678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1639090087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 29TH ST NE STE 2",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024862",
            "telephone_number": "319-364-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 29TH ST NE STE 2",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024862",
            "telephone_number": "319-364-3221",
            "fax_number": "319-364-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDER",
        "first_name": "KELVIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "10481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cara Richardson, PHARM.D.
• Kristen Paige Richardson, ARNP
• Kyla Bryann Richardson
• Mallory Richardson, ARNP
• Thomas David Richardson, MD
• Ronald J Ridder, PHD
• Ride With US LLC
• Riders Club of America
• Traci Elizabeth Ridgway, DNP
• Jennifer Rieck, RN

• General Practice Dentistry in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.