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RIDER ORAL SURGERY
NPI 1760900120
Oral & Maxillofacial Surgery in Jackson, MI

Active since September 06, 2017
2545 SPRING ARBOR ROAD, SUITE 202, JACKSON, MI 49203(517) 783-3130(517) 783-3140 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Jun 12, 2018 (2 updates tracked since 2018).

About Rider Oral Surgery NPPES

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

RIDER ORAL SURGERY (NPI 1760900120) is a healthcare organization registered as an oral & maxillofacial surgery in Jackson, Michigan and active in the NPI registry since September 2017. The organization lists Cynthia Ann Rider, Doctor, as its authorized official.

NPPES Registry Identity

NPI1760900120
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameCYNTHIA A RIDER DMD PLLC
Location Address2545 SPRING ARBOR ROAD, SUITE 202Jackson, MI 49203
Mailing Address2545 Spring Arbor Rd Ste 202Jackson, MI 49203-3791 · (517) 783-3130 · Fax (517) 783-3140
Phone(517) 783-3130
Fax(517) 783-3140
Organization SubpartNo
Authorized OfficialCynthia Ann RiderDoctor · (517) 783-3130
Enumeration DateSeptember 6, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1760900120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
2545 SPRING ARBOR ROAD, Jackson, MI 49203
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Other Names 1

Doing Business AsRider Oral Surgery

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rider Oral Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Rider Oral Surgery, which bills Medicare for the services this clinician delivers.

Clinician (1)

Cynthia Rider, D.M.D.
Oral Surgery
NPI 1225123078
2545 SPRING ARBOR RD. SUITE 202
Jackson, MI 49203
(517) 783-3130
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Cynthia A Rider Dmd PLLC's NPI number?

The NPI number for Cynthia A Rider Dmd PLLC is 1760900120. It was assigned to this organization in the NPPES registry on September 6, 2017. The provider is doing business as Rider Oral Surgery.

Where is Cynthia A Rider Dmd PLLC located?

Cynthia A Rider Dmd PLLC is located at 2545 Spring Arbor Road Suite 202, Jackson, MI 49203. The listed phone number is (517) 783-3130.

What is Cynthia A Rider Dmd PLLC's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Cynthia A Rider Dmd PLLC enrolled in Medicare?

Yes. Cynthia A Rider Dmd PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cynthia A Rider Dmd PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Cynthia A Rider Dmd PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Cynthia A Rider Dmd PLLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.