Ridder Orthodontics of Fort Worth PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

RIDDER ORTHODONTICS OF FORT WORTH PC

Practice address

12453 Timberland Blvd
Suite 101
Keller, TX 76248

Phone

(817) 741-0484

NPI assigned

Oct 23, 2007

Last updated

Oct 26, 2007By 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

Dr. Nicholas Robert Ridder, DDS, MSNPI 1699809624

Title

Owner

Phone

(817) 741-0484

Specialties & licenses 1

Addresses

Other names 1

• Ridder Orthodontics PC Former legal business name

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.

• Nicholas R Ridder, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fort Worth, TX
  • NPI 1699809624
  NPD (past) Authorized official

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1841489150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12717 CREAMELLO AVE",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762481160",
            "telephone_number": "817-741-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12453 TIMBERLAND BLVD",
            "address_2": "SUITE 101",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "76248",
            "telephone_number": "817-741-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDDER ORTHODONTICS OF FORT WORTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "RIDDER",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-741-0484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridder Orthodontics PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Margarita Angela Rice, FNP, PMHNP
• Rich Assets LLC (RA Home Health)
• Richard a Nichols, DPM, PA (Alliance Foot & Ankle Specialists)
• Kristen Michelle Richmond, M.S CCC/SLP
• Molly Richmond, RBT
• Ridgepoint Dental TX PLLC (Ridgepoint Dental)
• Matha Katherine Riedel, LPC
• Jonathan David Rigsby, D.C.
• Heather Duncan Riley
• Rise Physical Medicine, PLLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Keller, TX
• Providers in Keller, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.