JOHN DAVID RIDELLA DMD
NPI 1215035084
Dentist in Johnstown, PA

Active since September 20, 2006PECOS Enrolled
901 MENOHER BLVD, JOHNSTOWN, PA 15905(814) 536-5646(814) 536-1774 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John David Ridella Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN DAVID RIDELLA DMD (NPI 1215035084) is an individual dentist in Johnstown, Pennsylvania, licensed in Pennsylvania (026351) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215035084
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJOHN DAVID RIDELLACredential: DMD
Location Address901 MENOHER BLVDJohnstown, PA 15905
Mailing Address901 Menoher BlvdJohnstown, PA 15905 · (814) 536-5646 · Fax (814) 536-1774
Fax(814) 536-1774
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1215035084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in PA · 026351 Licensed in PA · BR1727215
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
901 MENOHER BLVD, Johnstown, PA 15905

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

John David Ridella Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Ridella's NPI number?

The NPI number for John Ridella is 1215035084. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is John Ridella located?

John Ridella practices at 901 Menoher Blvd, Johnstown, PA 15905. The listed phone number is (814) 536-5646.

What is John Ridella's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is John Ridella enrolled in Medicare?

Yes. John Ridella is registered in the Medicare PECOS enrollment system.

What insurance does John Ridella accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list John Ridella as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Ridella was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.