Active NPI
Fabio Rizzante, DDS, MSC, PHD, MBA
- Dentist
- Charleston, SC
National Provider Identifier
1003384132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 49
- Practice address
- 29 Bee Street
Charleston, SC 29425-4905 - Phone
- (734) 489-2834
- NPI assigned
- Nov 7, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 49 | SC | Primary |
Addresses
Primary practice location
29 Bee Street
Charleston, SC 29425-4905
Mailing address
173 Ashley Ave
Dept of Oral Rehabilitation
Charleston, SC 29425-8908
Phone (734) 489-2834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Business Administration, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49 | SC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1003384132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 ASHLEY AVE",
"address_2": "DEPT OF ORAL REHABILITATION",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258908",
"telephone_number": "734-489-2834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 BEE STREET",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294254905",
"telephone_number": "734-489-2834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIZZANTE",
"first_name": "FABIO",
"name_prefix": "Dr.",
"credential": "DDS, MSC, PHD, MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-07",
"last_updated": "2022-02-04",
"certification_date": "2022-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "49",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.