DR. KELLI RIDDLE (NPI# 1841711264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841711264 |
| Entity Type | Individual |
| Full Name | DR. KELLI RIDDLE |
| Credential | DDS |
| Practice Address |
8640 E State Road 70 Ste D Bradenton FL 34202 |
| Mailing Address |
4996 Miramar Dr Unit 6103 Madeira Beach FL 33708-3436 |
| Practice Telephone | 9414623706 |
| Practice Fax Number | 9417270374 |
| Mailing Telephone | 7576470530 |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2018-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
DN23217 | FL | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1741 | FL | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9200 113th St, Seminole, FL 337722800 | 7273946064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801938394 | Kelli Knox Riddle | Physician Assistant | 1543 Professional Pkwy, Auburn, AL 36830-2858 | 2007-02-13 |
| 1699827832 | Kelli Kay Riddle | Massage Therapist | 4775 Ballard Ave Nw, Seattle, WA 98107-4810 | 2007-01-17 |
| Street Address |
8640 E STATE ROAD 70 STE D |
| City | BRADENTON |
| State | FL |
| Zip Code | 34202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366872467 | Muyeenul Hassan | Dentist | 8640 E State Road 70 Ste D, Bradenton, FL 34202-3785 | 2013-11-26 |
| 1316468028 | Vincent Corona | Dentist | 8640 E State Road 70 Ste D, Bradenton, FL 34202-3785 | 2017-07-03 |
| 1003268525 | Denis Monzin | Dentist | 8640 E State Road 70 Ste D, Bradenton, FL 34202-3785 | 2016-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795857 | Kind Smiles Dental Health | Clinic/Center | 11155 State Road 70 E, Lakewood Ranch, FL 34202 | 2020-09-23 |
| 1881208494 | Abby Elizabeth Crews | Nurse Practitioner | 7534, Divot Loop, Bradenton, FL 34202 | 2020-09-01 |
| 1982220158 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 14605 Sr 70, Bradenton, FL 34202 | 2020-06-23 |
| 1871118380 | Alternative Psychiatry, LLC | Registered Nurse | 8788 Sr 70 E, Suite 101, Bradenton, FL 34202 | 2020-06-10 |
| 1528617651 | Bass Partners LLC | Behavioral Analyst | 20818 Parkstone Terrace, Lakewood Ranch, FL 34202 | 2019-09-11 |
| 1861049090 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 11521 Sr 70 East, Bradenton, FL 34202 | 2019-08-22 |
| 1205496171 | Bryan J Morgan Lwr Pa | Dentist | 11157 Sr70 E, Lakewood Ranch, FL 34202 | 2019-06-13 |
| 1023677358 | Taneshia Mcclendon | Nurse Practitioner | 6310 Health Park Way Ste 100, Lakewood Ranch, FL 34202 | 2019-06-11 |
| 1497231542 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 7325 University Pkwy, Lakewood Ranch, FL 34202 | 2018-07-12 |
| 1790273159 | Main Street Childrens Dentistry and Orthodontics of Lakewood Ranch Pll | Dentist | 11649 Sr 70 East, Suite 109, Bradenton, FL 34202 | 2018-05-01 |
| Find all providers in zip 34202 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405105 | Gustavo E Rodriguez Oliva | Dentist | 3122 53rd Ave E, Bradenton, FL 34203-4311 | 2020-07-23 |
| 1558903799 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 5935 Lakewood Ranch Blvd, Bradenton, FL 34211-2464 | 2019-10-09 |
| 1932760543 | Yaima Alba | Dentist | 1602 State Hwy 684 W, Bradenton, FL 34207 | 2019-06-25 |
| 1023676814 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 6250 State Road 70 E, Bradenton, FL 34203-9734 | 2019-06-05 |
| 1942779186 | Montiel Dental Care P. A | Dentist | 6818 14th St W, Bradenton, FL 34207-5808 | 2018-11-16 |
| 1134694359 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 7385 University Pkwy, Bradenton, FL 34202-2300 | 2018-10-04 |
| 1881196566 | Pinnacle Dental, Inc | Dentist | 5220 4th Ave. Circle E., Bradenton, FL 34208 | 2018-03-08 |
| 1083144083 | Tanya Naravane | Dentist | 5215 Manatee Ave. W., Bradenton, FL 34209-3742 | 2017-06-13 |
| 1154858413 | Marshal Earnest | Dentist | 5215 Manatee Avenue West, Bradenton, FL 34209-3742 | 2017-05-17 |
| 1740633718 | Lara D. Bacchelli | Dentist | 8754 E State Road 70 Ste 8752, Bradenton, FL 34202-3720 | 2016-07-14 |
| Find all providers in BRADENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.