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MAELISA B RIDER
NPI 1619561701
Dental Hygienist in Las Animas, CO

Active since March 01, 2021
245 VINE AVE, LAS ANIMAS, CO 81054(719) 456-2653 Get Directions Write a Review

NPPES record last updated: March 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maelisa B Rider NPPES

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

MAELISA B RIDER (NPI 1619561701) is an individual dental hygienist in Las Animas, Colorado, licensed in Colorado (2025220) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1619561701
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameMAELISA B RIDER
Location Address245 VINE AVELas Animas, CO 81054-1039
Mailing Address245 Vine AveLas Animas, CO 81054-1039 · (719) 456-2653
Phone(719) 456-2653
Sole ProprietorNo
Enumeration DateMarch 1, 2021
NPPES CertifiedMarch 1, 2021
✔ NPI 1619561701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in CO · 2025220
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
245 VINE AVE, Las Animas, CO 81054
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Other Identifiers 1

Other2025220CO · Licensure

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VALLEY-WIDE HEALTH SYSTEMS, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
245 VINE AVE
LAS ANIMAS, CO 81054
Bent County (719) 456-2653
STEVEN GALLEGOS ACNP/FNP-BC
Nurse Practitioner (Family)
245 VINE AVE
LAS ANIMAS, CO 81054
Bent County (719) 456-2653
SAMANTHA RAE DIDOMENICO D.D.S.
Dentist (General Practice)
245 VINE AVE
LAS ANIMAS, CO 81054
Bent County (719) 456-2653

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 Maelisa Rider's NPI number?

The NPI number for Maelisa Rider is 1619561701. It was assigned to this individual provider in the NPPES registry on March 1, 2021.

Where is Maelisa Rider located?

Maelisa Rider practices at 245 Vine Ave, Las Animas, CO 81054. The listed phone number is (719) 456-2653.

What is Maelisa Rider's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Maelisa Rider was last updated on March 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.