James Dean Ridley, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

31971 Issued in CA

Practice address

1833 Boulevard
Jacksonville, FL 32206-4394

Phone

(904) 232-2751

NPI assigned

Jan 25, 2006

Sex

Male

Sole proprietor

No

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1851361612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 BOULEVARD STREET",
            "address_2": "JACKSONVILLE VA OUTPATIENT CLINIC",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322064394",
            "telephone_number": "904-232-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 BOULEVARD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322064394",
            "telephone_number": "904-232-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDLEY",
        "first_name": "JAMES",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "31971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rides on Time Transportation, LLC
• Cynthia Dawn Ridgeway, RPH
• Julie A Riding
• Christopher Ridley, PHARMD
• Elizabeth Nicole Ridley, PHARMD, BCPS, BCCCP
• Gretchen Riederer
• Susan Veronica Rieger, OTR/L, CHT
• Douglas Riegert-Johnson, MD
• Vanessa Z Riegert-Johnson, MD
• Randall Albert Riegler, M.D.

• Dentist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.