Riddle Modern Dentistry & Implants

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RIDDLE MODERN DENTISTRY & IMPLANTS

Practice address

2600 Market Trce
Fort Smith, AR 72908-8681

Phone

(479) 651-8298

NPI assigned

Jul 5, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Paul Riddle, DDS

Title

Owner/Dentist

Phone

(479) 651-8298

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Rufus Paul Riddle, DDS

  • General Practice Dentistry
  • Fort Smith, AR
  • NPI 1558853671
  NPD

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

{
    "created_epoch": "1625443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625443200000",
    "number": "1932770609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10412 STONELEIGE ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729080740",
            "telephone_number": "479-651-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 MARKET TRCE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729088681",
            "telephone_number": "479-651-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDDLE MODERN DENTISTRY & IMPLANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-05",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A",
        "authorized_official_last_name": "RIDDLE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "479-651-8298",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Wade Richardson, CCC-SLP
• Talicia Richardson, MS, LAC
• Andrew Balford Riche, M.D.
• Danny M Richie, MHPP
• Kristen Ricketts
• Rufus Paul Riddle, DDS
• Jamie L Ridgley, RN
• Sherry Riggins
• Allison Rae Riggs, APRN
• Samantha Riggs, RD

• Dental Clinic/Center in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Dental Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2021; 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.