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DR. JACLYN KRISTINE RIDDER DDS
NPI 1790122273
Dentist - General Practice in Noblesville, IN

Active since May 24, 2013PECOS Enrolled
15887 CUMBERLAND RD STE 104, NOBLESVILLE, IN 46060(317) 770-4783 Get Directions Write a Review

NPPES record last updated: November 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jaclyn Kristine Ridder Dds NPPES

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

DR. JACLYN KRISTINE RIDDER DDS (NPI 1790122273) is an individual general practice provider in Noblesville, Indiana, licensed in Indiana (12011954A) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1790122273
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JACLYN KRISTINE RIDDERCredential: DDS
Location Address15887 CUMBERLAND RD STE 104Noblesville, IN 46060
Mailing Address15540 Brackenwood CtNoblesville, IN 46062-6704 · (317) 418-1342
Phone(317) 770-4783
Sole ProprietorNo
Enumeration DateMay 24, 2013
Last NPPES UpdateNovember 7, 2018
✔ NPI 1790122273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IN · 12011954A
Definition
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.
15887 CUMBERLAND RD STE 104, Noblesville, IN 46060
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Secondary Practice Location 1

Location 19310 N Meridian St, Suite 200Indianapolis, IN 46260-1867 · Phone (317) 846-6125 · Fax (317) 846-6282

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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)

Dr. Jaclyn Kristine Ridder Dds 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 46060 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

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.

OSAMA NAGA FAMILY DENTISTRY LLC
Dentist (General Practice)
15887 CUMBERLAND RD STE 104
NOBLESVILLE, IN 46060
Hamilton County (317) 770-4783
DR. OSAMA NAGA DDS
Dentist
15887 CUMBERLAND RD STE 104
NOBLESVILLE, IN 46060
Hamilton County (317) 770-4783
JACLYN RIDDER DDS, LLC
Clinic/Center (Dental)
15887 CUMBERLAND RD STE 104
NOBLESVILLE, IN 46060
Hamilton County (317) 770-4783

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 Jaclyn Ridder's NPI number?

The NPI number for Jaclyn Ridder is 1790122273. It was assigned to this individual provider in the NPPES registry on May 24, 2013.

Where is Jaclyn Ridder located?

Jaclyn Ridder practices at 15887 Cumberland Rd Ste 104, Noblesville, IN 46060. The listed phone number is (317) 770-4783.

What is Jaclyn Ridder's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jaclyn Ridder enrolled in Medicare?

Yes. Jaclyn Ridder is registered in the Medicare PECOS enrollment system.

What insurance does Jaclyn Ridder accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Indiana and HRI Dental & Vision and 2 other insurers list Jaclyn Ridder 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 Jaclyn Ridder was last updated on November 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.