Dominic Ricciardi MD LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

NV20061204813 Issued in NV

Legal business name

DOMINIC RICCIARDI MD LTD

Practice address

8285 W Arby Ave Ste 145
Las Vegas, NV 89113-2236

Phone

(702) 492-8281

Fax

(702) 491-8279

NPI assigned

Jun 11, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dominic Ricciardi, MDNPI 1720198914

Title

President

Phone

(702) 492-8281

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Tax ID family

Dominic Ricciardi Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dominic Ricciardi Inc

  • Clinical Psychologist
  • Las Vegas, NV
  • NPI 1235406463
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dominic L. Ricciardi, MD

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1720198914
  Medicare reassignment Care Compare group NPD Authorized official
• Olga Maratovna Borozinski, NP

  • Family Nurse Practitioner
  • Henderson, NV
  • NPI 1184495848

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Leanne Cedarstrom Neu

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
  • NPI 1790662138

  Multi-Specialty

  Medicare reassignment NPD
• Lindsey Bocchieri Ricciardi, PHD

  • Clinical Psychologist
  • Las Vegas, NV
  • NPI 1982851465
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1023212552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6284 S RAINBOW BLVD",
            "address_2": "SUITE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183244",
            "telephone_number": "702-492-8281",
            "fax_number": "702-492-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8285 W ARBY AVE STE 145",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132236",
            "telephone_number": "702-492-8281",
            "fax_number": "702-491-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINIC RICCIARDI MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RICCIARDI",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-492-8281",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "NV20061204813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yoel Dominguez
• Yoel A. Dominguez
• Zoraida Sofia Dominguez
• Caridad Dominguezz
• Dominic Ricciardi Inc
• Dominique Crocker
• Maria Dominquez
• Teresa Dominquez
• Sarah Domrique
• Emma Domschot

• Internal Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.