DR. DAVID ERWIN RIDDICK (NPI# 1851304133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851304133 |
| Entity Type | Individual |
| Full Name | DR. DAVID ERWIN RIDDICK |
| Credential | DENTIST |
| Practice Address |
801 W Trimble Ave Berryville AR 72616-5101 |
| Mailing Address |
Po Box 365 Berryville AR 72616-0365 |
| Practice Telephone | 8704233832 |
| Practice Fax Number | 8704233832 |
| Mailing Telephone | 8704233832 |
| Mailing Fax Number | 8704232995 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3264 | AR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUE CROSS BLUE SHIELD | 5T911 | 01 |
| AR | UNITED CONCORDIA BC/BS | 974643 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073540779 | David Riddick | Internal Medicine | 8919 Three Chopt Rd, Richmond, VA 23229-4614 | 2006-06-27 |
| Street Address |
801 W TRIMBLE AVE |
| City | BERRYVILLE |
| State | AR |
| Zip Code | 72616-5101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811470784 | Ltc of Berryville, LLC | Skilled Nursing Facility | 500 Hammond Avenue, Berryville, AR 72616 | 2018-09-07 |
| 1700200144 | Jason Spener Mabry | Pharmacist | 1006 West Trimble Ave, Berryville, AR 72616 | 2014-02-05 |
| 1659706554 | Roxanne Garrison | Physical Therapy Assistant | 705 College Street, Carroll County Learning Center, Berryville, AR 72616 | 2013-09-10 |
| 1780978007 | Mcneal Chiropractic Ctr, Inc | Chiropractor | 601 Orchard Drive, Berryville, AR 72616 | 2011-06-03 |
| 1700176542 | Ida Linda Trice | Psychologist | 122 Rose, Berryville, AR 72616 | 2011-04-13 |
| 1649364142 | Lyman Gray Squires Jr. | Optometrist | 105 S. Springfield St., Berryville, AR 72616 | 2006-10-02 |
| 1063520955 | Jim D Blanchard | Dentist | 201 Rice St, Berryville, AR 72616 | 2006-08-29 |
| 1194833236 | Rebecca Leigh Zeleny | Social Worker | 208 Hwy 62 W, Berryville, AR 72616 | 2006-08-28 |
| 1811923741 | Kim Arehart Knapp | Genetic Counselor, MS | 208 Hwy 62 West, Berryville, AR 72616 | 2006-06-23 |
| 1972921252 | Tyler Worth Troutman | Hospitalist | 214 Carter St, Berryville, AR 72616 | 2014-04-03 |
| Find all providers in zip 72616 | ||||
| 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 |
|---|---|---|---|---|
| 1811073984 | Dandridge Berry Allen | Dentist | 100 Chalmers Ct, Berryville, VA 22611-1347 | 2006-10-31 |
| 1932119054 | Michael S Nelson | Dentist | 605 Eureka Ave Ste C, Berryville, AR 72616-3035 | 2006-08-09 |
| 1215471511 | Geoffrey B. West, Dds, Pllc | Dentist | 201 Rice St, Berryville, AR 72616-4388 | 2016-12-06 |
| 1508234436 | Geoff West | Dentist | 201 Rice St, Berryville, AR 72616-4388 | 2015-09-09 |
| 1972800969 | Eldon C. Thompson, Jr. Dds LLC | Dentist | 208 N Main St, Berryville, AR 72616-3925 | 2011-02-28 |
| 1720223597 | Robert M. Spurlin D.d.s | Dentist | 208 N Main St, Berryville, AR 72616-3925 | 2008-12-09 |
| 1619150885 | Kaiser and Malony, D.d.s., P.C. | Dentist | 322 N Buckmarsh St, Berryville, VA 22611 | 2007-12-11 |
| 1700069978 | Gina Marie Kaiser | Dentist | 322 North Buckmarsh St., Berryville, VA 22611 | 2007-12-11 |
| 1720261191 | Nicole Christine Malony | Dentist | 322 N Buckmarsh St, Suite 2, Berryville, VA 22611-1000 | 2007-12-09 |
| 1023154226 | Eldon C Thompson Jr. | Dentist | 208 N Main St, Berryville, AR 72616-3925 | 2007-01-29 |
| Find all providers in BERRYVILLE | ||||
| City | BERRYVILLE |
| Zip Code | 72616 |
Please comment or provide details below to improve the information on DR. DAVID ERWIN RIDDICK.
| 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.